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100+ Free SCFHS Classification Exam Practice Questions
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A patient with diabetes presents with deep, rapid (Kussmaul) breathing, a fruity breath odour, high blood glucose, and ketones in the urine. Which condition does the nurse suspect?
A
B
C
D
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Sample SCFHS Classification Exam Practice Questions
Try these sample questions to test your SCFHS Classification Exam exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A nurse technician notices a colleague preparing to administer a medication without checking the patient's identification band. According to SCFHS patient-safety standards, what is the most appropriate first action?
A.Politely remind the colleague to verify the patient's identity before administration
B.Report the colleague to the unit manager immediately
C.Document the omission in the incident report after the dose is given
D.Administer the medication yourself to avoid delay
Explanation: Patient identification using two identifiers before medication administration is a core SCFHS patient-safety goal. The immediate priority is preventing harm, so directly and respectfully prompting the colleague to verify identity stops the error before it occurs.
2On a busy medical-surgical unit, four patients require attention simultaneously. Which patient should the nurse prioritize first?
A.A patient requesting pain medication for chronic back pain
B.A patient asking when their discharge papers will be ready
C.A post-operative patient with a respiratory rate of 8 and oxygen saturation of 86%
D.A patient requesting assistance to ambulate to the bathroom
Explanation: Airway and breathing take priority under the ABC framework. A respiratory rate of 8 with an oxygen saturation of 86% indicates respiratory depression and hypoxemia, a life-threatening situation requiring immediate intervention.
3A charge nurse must delegate tasks on the unit. Which task is most appropriate to delegate to a nursing assistant rather than a registered nurse?
A.Performing the initial admission assessment of a new patient
B.Developing the nursing care plan for a complex patient
C.Providing discharge teaching about a new medication
D.Measuring and recording vital signs on a stable patient
Explanation: Delegation follows the five rights of delegation: routine, predictable tasks on stable patients fall within the assistant's scope. Measuring vital signs on a stable patient is appropriate, while assessment, planning, and teaching require the RN's judgment.
4Which action best demonstrates the SCFHS professional value of accountability when a nurse makes a medication error?
A.Concealing the error to protect their professional reputation
B.Reporting the error promptly, monitoring the patient, and completing an incident report
C.Waiting until the next shift to mention it to a colleague informally
D.Blaming the pharmacy for dispensing the wrong dose
Explanation: Accountability requires the nurse to take responsibility for their actions. Promptly disclosing the error, assessing and monitoring the patient for harm, and documenting through the incident-reporting system protects the patient and supports system learning.
5A nurse is handing over a patient at the change of shift. Which structured communication tool is recommended to ensure safe, complete handover?
A.SBAR
B.SOAP
C.FIFO
D.RACE
Explanation: SBAR (Situation, Background, Assessment, Recommendation) is the internationally endorsed structured handover tool that reduces communication errors during transitions of care, a key SCFHS patient-safety practice.
6A patient who is a competent adult refuses a recommended blood transfusion for personal beliefs. What is the nurse's most appropriate response?
A.Administer the transfusion anyway because it is medically necessary
B.Tell the family to override the patient's decision
C.Respect the patient's autonomy, ensure they understand the risks, and document the refusal
D.Withhold all further care until the patient agrees
Explanation: Autonomy is a core ethical principle: a competent, informed adult has the right to refuse treatment. The nurse ensures the patient understands the consequences, notifies the physician, and documents the informed refusal.
7Which of the following is the single most effective measure to prevent the transmission of healthcare-associated infections?
A.Wearing sterile gloves for all patient contact
B.Administering prophylactic antibiotics routinely
C.Placing all patients in private rooms
D.Performing hand hygiene before and after patient contact
Explanation: Hand hygiene is recognized by the WHO and SCFHS as the single most effective intervention to reduce healthcare-associated infections. The WHO 'My 5 Moments' framework structures when to perform it.
8A nurse identifies that a frequently used infusion pump on the unit repeatedly delivers incorrect rates. According to quality-improvement principles, what is the most appropriate action?
A.Continue using the pump but warn colleagues verbally
B.Remove the pump from service, report it through the incident system, and request biomedical review
C.Adjust the prescribed rate manually to compensate for the error
D.Use the pump only on stable patients
Explanation: Faulty equipment is a system hazard. Removing the device from service, reporting it, and escalating to biomedical engineering protects all patients and supports root-cause analysis under a just-culture safety system.
9When documenting nursing care, which entry best reflects accurate and legally sound documentation?
A.Patient ambulated 20 metres in the corridor at 10:00 without dyspnoea or chest pain
B.Patient seems fine today, no problems
C.Patient was difficult and uncooperative
D.Will check on patient later
Explanation: Documentation must be objective, specific, time-stamped, and measurable. Recording the distance walked, the time, and the absence of symptoms is factual and defensible, unlike vague or judgmental statements.
10A nurse is assigned to care for eight patients during a staffing shortage and feels the workload is unsafe. What is the most professionally appropriate action?
A.Refuse to work and leave the unit immediately
B.Provide care only to the two sickest patients and ignore the rest
C.Communicate the concern to the charge nurse, document it, and continue providing safe care while advocating for support
D.Quietly accept the assignment without raising any concern
Explanation: Patient advocacy and professional accountability require the nurse to formally raise unsafe staffing concerns through the chain of command and document them, while not abandoning patients. This balances duty of care with safety advocacy.
About the SCFHS Classification Exam Practice Questions
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