Free Ward and Unit Management MCQs with Answers

• A. Changing a patient's wound dressing
• B. Assessing a patient's pain score
• C. Preparing the duty roster for staff
• D. Teaching a patient how to use a walker

Explanation: Preparing the duty roster is a unit management activity that helps match staffing with patient needs.

• A. Assessing a newly admitted patient's chest pain
• B. Administering an intravenous antibiotic
• C. Measuring and recording a stable patient's temperature
• D. Developing the patient's nursing care plan

Explanation: Measuring the temperature of a stable patient is a routine task that can be delegated to trained support staff.

• A. Place the patient in the assigned bed and leave the ward
• B. Assess airway, breathing, circulation and immediate safety needs
• C. Ask the family to complete all admission documentation
• D. Explain the visiting hours before assessing the patient

Explanation: The initial assessment identifies immediate threats to airway, breathing, circulation and safety.

• A. Send the patient without a verbal report if the notes are complete
• B. Give a structured report about the patient's condition and current care
• C. Ask the receiving unit to review the patient after the transfer
• D. Remove all identification information from the patient's records

Explanation: A structured handover communicates the patient's diagnosis, current condition, treatment, risks and required follow-up.

• A. Tell the patient to stop medicines when symptoms improve
• B. Explain medicines, follow-up, warning signs and when to seek help
• C. Ask the patient to remember the instructions without written information
• D. Send the patient home before confirming transport and support

Explanation: Safe discharge teaching includes the treatment plan, follow-up arrangements, warning signs and instructions for seeking help.

• A. Place the packs at the back of the cupboard
• B. Use the packs if the instruments inside look clean
• C. Remove the packs from use and report the damaged stock
• D. Dry the packs and return them to the sterile cupboard

Explanation: Torn or wet packaging may mean that sterility has been lost, so the packs must not be used.

• A. Hide the incident because the patient was not harmed
• B. Document and report the near miss according to hospital policy
• C. Record that the prescribed medication was administered
• D. Discuss the event only with the next shift nurse

Explanation: A near miss should be reported and documented honestly so that contributing system problems can be corrected.

• A. Keep discharged patients in their beds until the next shift
• B. Coordinate discharge completion, bed cleaning and admission timing
• C. Accept new patients before confirming that beds are safe and ready
• D. Ask families to clean the empty beds themselves

Explanation: Effective bed management coordinates discharge procedures, environmental cleaning and the timing of new admissions.

• A. Complete the medication record before responding
• B. Remove people from immediate danger and activate the emergency response
• C. Open all windows to clear smoke from the ward
• D. Move every patient to the assembly area without assistance

Explanation: In an emergency, immediate safety takes priority. The nurse should rescue people in immediate danger and activate the response system…

• A. The ward inventory register
• B. The patient's nursing progress notes
• C. The staff duty roster
• D. The equipment maintenance log

Explanation: Nursing progress notes record assessment findings, interventions and the patient's response, supporting communication and continuity of…

• A. The clinical needs and acuity of assigned patients
• B. The personal preference of every staff member
• C. The order in which staff request leave
• D. The number of staff who live nearby

Explanation: A safe roster matches staff numbers and skills with patient acuity and workload.

• A. Matching staff competence with patient-care requirements
• B. Giving every nurse an identical patient assignment
• C. Allowing the newest nurse to select the easiest patients
• D. Using seniority as the only basis for assignments

Explanation: Assignments should reflect the nurse's competence, education and the complexity of patient care.

• A. Start the approved replenishment process
• B. Wait until the supplies are completely finished
• C. Borrow supplies without recording the movement
• D. Store extra supplies in an unapproved area

Explanation: The minimum stock level signals that replenishment should begin before essential items run out.

• A. Label it defective and arrange a working replacement
• B. Keep it available in case another machine fails
• C. Ask a patient attendant to test and repair it
• D. Clean it and return it without reporting the fault

Explanation: Defective equipment should be removed from use, clearly labelled and reported according to hospital policy.

• A. Recent changes, current risks and required follow-up
• B. The nurse's personal opinion of the patient's family
• C. The complete history of every previous admission
• D. The names of all staff who worked the previous shift

Explanation: A useful handover highlights changes in condition, safety risks, pending actions and the patient's response to treatment.

• A. Notify the responsible team and arrange appropriate isolation precautions
• B. Place the patient beside another patient with a cough
• C. Wait for the laboratory report before using precautions
• D. Move the patient to the nurses' station for observation

Explanation: Suspected pulmonary tuberculosis requires prompt communication and appropriate airborne infection precautions according to facility…

• A. Check emergency equipment, oxygen supply and essential medicines
• B. Keep the emergency trolley locked without checking it
• C. Check equipment only after an emergency occurs
• D. Ask patients to report missing emergency supplies

Explanation: Routine checking confirms that emergency equipment and medicines are present, functional and ready for use.

• A. Clarify the plan with the healthcare team and communicate one agreed instruction
• B. Allow the patient to choose whichever instruction seems easier
• C. Ask the nurses to continue because both methods may be acceptable
• D. Tell the patient to ignore all instructions until discharge

Explanation: Coordinating with the healthcare team and communicating a consistent plan prevents confusion and unsafe care.

• A. Call for emergency help and assess responsiveness and breathing
• B. Complete the incident report before approaching the patient
• C. Move the patient to a private room without checking breathing
• D. Search the patient's record for the previous diagnosis

Explanation: The immediate priority is emergency recognition, calling for help and assessing airway and breathing.

• A. Review medication records and discuss patterns with the team
• B. Rely on informal comments made during tea breaks
• C. Remove the medication records after each shift
• D. Ask only the most senior nurse for an opinion

Explanation: Reviewing medication records can reveal when and why delays occur, allowing the team to correct staffing, supply or coordination problems.