Free Practice Questions for KROK B Nursing

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Sample KROK B Nursing Practice Questions

Try these sample questions to review concepts for the KROK B Nursing exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 84+ question experience with AI tutoring.

1A nurse enters a hospital room to adjust the infusion pump rate for an alert patient. The nurse touches only the pump buttons and the IV pole, without direct physical contact with the patient or bedsheets. According to WHO guidelines and Ministry of Health of Ukraine Order No. 1614 on hand hygiene, what is the mandatory action upon leaving the room?

A.Perform hygienic hand rub with an alcohol-based antiseptic before leaving the room

B.No hand hygiene is required because direct physical contact with the patient did not occur

C.Perform a surgical hand scrub with chlorhexidine solution for at least 3 minutes

D.Rinse hands under cold running water without soap or drying agents

Explanation: According to the WHO 'Five Moments for Hand Hygiene' and MOH Ukraine Order No. 1614, Moment 5 is 'after touching patient surroundings'. The patient environment (infusion stands, bed rails, monitor surfaces) is frequently colonized with hospital pathogens, requiring hygienic hand disinfection with an alcohol-based hand rub even when direct patient contact did not take place.

2During a wound dressing procedure, a nurse must discard blood-soaked gauze, blood-contaminated disposable gloves and a used scalpel blade. Under Ministry of Health of Ukraine Order No. 1827, which method of segregation at the point of generation is correct?

A.Place all items together in an infectious-waste bag and compact it before closing

B.Put the blade in a reusable sharps container and the soft items in designated infectious-waste packaging

C.Collect soft items in designated infectious-waste packaging and the blade separately in a single-use, puncture-resistant sharps container

D.Place all items in an open tray and sort them into infectious-waste containers at the end of the shift

Explanation: Order No. 1827 replaced Order No. 325 from 1 April 2025. Blood-contaminated soft materials belong in designated, mechanically resistant infectious-waste packaging. Used sharps require separate, single-use, puncture-resistant containers with secure lids. Segregation occurs where waste is generated; infectious waste must not be compacted or later sorted by hand.

3An endoscopy unit nurse performs high-level chemical disinfection of flexible gastrointestinal endoscopes using an activated glutaraldehyde solution. To ensure disinfection efficacy, how frequently must the minimum effective concentration (MEC) of the active disinfectant solution be verified?

A.Only once when the manufacturer's chemical container is initially opened

B.Once monthly during scheduled microbiological ward environmental swabs

C.Once at the end of each work week before disposal of the disinfectant bath

D.Before each disinfection cycle (or at least daily before the first use) using product-specific chemical test strips

Explanation: High-level disinfectant solutions become diluted by rinsed instruments and undergo chemical degradation over time. The minimum effective concentration (MEC) of the active agent (such as glutaraldehyde or ortho-phthalaldehyde) must be tested with validated chemical test strips prior to each reprocessing cycle or at least daily before beginning clinical endoscope processing.

4The nursing process consists of five interconnected, systematic stages designed to deliver individualized, patient-centered care. Which stage constitutes the fundamental initial step upon which all subsequent nursing decisions depend?

A.Nursing assessment (comprehensive collection and validation of subjective and objective patient data)

B.Formulation of the nursing diagnosis

C.Implementation of planned nursing interventions

D.Evaluation of patient outcomes and care plan revision

Explanation: Assessment is the critical first stage of the nursing process. It involves continuous, systematic collection, verification, and analysis of subjective data (patient statements, symptoms, history) and objective data (physical examination findings, vital signs, laboratory tests), providing the empirical foundation for formulating accurate nursing diagnoses.

5When formulating an actual nursing diagnosis according to the standardized PES structure, what three components must be clearly stated in the diagnostic statement?

A.Problem, physician-prescribed intervention, and expected outcome

B.Problem (human response), Etiology (related contributing factors), and Signs/Symptoms (defining clinical characteristics)

C.Problem, related risk factors, and expected outcome

D.Medical diagnosis, treatment plan, and evaluation

Explanation: The standardized PES format defines an actual nursing diagnosis through three elements: P = Problem (the patient's health condition or response to illness), E = Etiology (related/contributing causative factors), and S = Signs and Symptoms (defining characteristics evidenced by subjective or objective data, e.g., 'Acute pain related to surgical incision as evidenced by self-report of 8/10 pain and guarding').

6A nurse evaluates a patient admitted with moderate accidental hypothermia whose core body temperature is 31.0°C. In planning nursing interventions, which rewarming consideration is essential to prevent 'afterdrop' and cardiovascular collapse?

A.Vigorously rubbing the patient's extremities with coarse towels and alcohol

B.Submerging both lower extremities in hot water at 45°C

C.Insulate the patient, apply controlled heat to the upper trunk, handle gently and keep horizontal, and give warmed IV fluids if indicated

D.Encouraging immediate brisk physical exercise and walking around the room

Explanation: A core temperature of 31°C falls in the moderate hypothermia range of 28–32°C. Prevent further heat loss, handle the patient gently in a horizontal position, and apply controlled external heat to the upper trunk. Warmed IV fluids, when indicated, prevent further cooling but are not a substitute for trunk warming. Avoid rubbing or heating cold extremities, which can increase cold blood return and afterdrop.

7A patient with persistent atrial fibrillation is assessed for a pulse deficit. How must the nursing team accurately measure and calculate this clinical parameter?

A.One nurse counts the radial pulse for 15 seconds and multiplies by 4

B.The nurse palpates the carotid pulse while the patient counts their own radial beats

C.One nurse records the radial pulse in the morning and compares it to the evening apical pulse

D.Two nurses count simultaneously for one full minute—one auscultating the apical pulse and the other palpating the radial pulse—then subtract radial from apical

Explanation: Pulse deficit represents ineffective myocardial contractions that fail to transmit a detectable pulse wave to the peripheral arteries. Accurate measurement requires two clinicians simultaneously counting for 60 seconds: one auscultates the apical heart rate with a stethoscope over the cardiac apex, while the second palpates the radial pulse. The pulse deficit equals apical rate minus radial rate.

8A nurse evaluates an elderly patient who reports dizziness when getting out of bed. Which blood pressure and heart rate changes within 3 minutes of standing confirm the nursing diagnosis of orthostatic (postural) hypotension?

A.A drop in systolic blood pressure of ≥20 mmHg or diastolic blood pressure of ≥10 mmHg

B.An isolated increase in systolic blood pressure of at least 30 mmHg

C.A decline in heart rate of 5 beats per minute without any change in blood pressure

D.An isolated drop in diastolic blood pressure of exactly 2 mmHg

Explanation: Orthostatic hypotension is clinically defined as a sustained reduction in systolic blood pressure of at least 20 mmHg and/or a reduction in diastolic blood pressure of at least 10 mmHg within 3 minutes of moving from a supine or seated position to an active standing position.

9Prior to performing radial artery puncture for arterial blood gas (ABG) analysis, the nurse assists with Allen's test to evaluate collateral circulation. What finding indicates a positive (normal) test result confirming safe puncture?

A.The hand remains pale, cold, and blanched for more than 15 seconds after releasing ulnar compression

B.The hand flushes pink and capillary refill returns within 5 to 7 seconds after releasing ulnar artery compression while maintaining radial compression

C.The hand remains pale when ulnar compression is released but flushes only when radial compression is released

D.The hand flushes while both arteries are still compressed

Explanation: In a modified Allen's test, both the radial and ulnar arteries are compressed while the patient clenches their fist to blanch the palm. When the patient opens their hand and compression on the ulnar artery is released, prompt return of normal pink skin color within 5 to 7 seconds (positive Allen's test) confirms adequate ulnar collateral perfusion, ensuring hand viability if radial artery thrombosis occurs.

10A patient with suspected pulmonary tuberculosis is scheduled for diagnostic sputum collection for acid-fast bacilli (AFB) smear microscopy and GeneXpert PCR. What are the optimal timing and instructions for collecting this specimen?

A.Collect saliva pooled in the mouth right after a heavy evening meal

B.Perform vigorous mouth rinsing with alcohol antiseptic followed by collecting throat secretions

C.Collect 24-hour pooled sputum in an unsealed container left on the patient bedside table

D.Collect an early morning specimen from a deep productive cough before eating, drinking, or using oral antiseptics, rinsing the mouth with water only

Explanation: Early morning sputum is preferred because bronchial secretions accumulate overnight. The patient should rinse their mouth with plain boiled water (to clear food particles without antiseptic inhibition), take several deep breaths, and produce a deep cough to deliver lower respiratory tract sputum (at least 3–5 mL) into a sterile screw-top container.

About the KROK B Nursing Exam

Independent practice questions for KROK B Nursing (Крок Б. Сестринська справа), the state qualification exam for graduating bachelor's-degree nurses administered by the Testing Center of the Ministry of Health of Ukraine.

Exam sponsor: ДНТ «Центр якості освіти МОЗ» (Testing Center of the Ministry of Health of Ukraine). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

150 single-best-answer MCQs covering nursing diagnostics and intervention planning in infection safety (34%), emergency pre-medical aid across age groups (30%), nursing management and administration (30%), and pharmacotherapy (6%).

Time Limit

150 min for Ukrainian citizens; 180 min for foreign citizens

Passing Score

42.0%

Exam / Certification Fees

Institution-arranged payment; confirm any personal sitting, retake or overseas test-centre charge with your university.

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

34%

Diagnostics, Health Monitoring, and Planning Nursing Interventions in Infection Safety

Patient assessment, monitoring vital parameters and hemodynamics, nursing process and care planning, standard and transmission-based precautions, asepsis, antisepsis, sterilization, and healthcare-associated infection (HAI) prevention under MOH Order No. 1614.

30%

Emergency Pre-Medical Aid to Patients of Various Age Groups

Basic life support (BLS/CPR) for adults, children, and infants, automated external defibrillation, foreign body airway obstruction, emergency management of shock, acute coronary syndrome, stroke, trauma, hemorrhage control (tourniquets/MARCH), burns, poisoning, and pediatric emergencies.

30%

Management and Administration in Nursing Practice

Nursing leadership, team organization, delegation, supervision, healthcare quality assurance, clinical protocols, medical documentation (eHealth), nursing ethics and bioethics, patient rights, occupational safety, and medication/inventory management under Cabinet of Ministers Decree No. 333.

Pharmacotherapy

Safe medication administration routes, dosage and infusion rate calculations, adverse drug reaction monitoring, anaphylaxis recognition, and cold-chain vaccine storage regulations.

Preparing for the KROK B Nursing Exam

What You Need to Know

Passing score: 42.0%
Assessment: 150 single-best-answer MCQs covering nursing diagnostics and intervention planning in infection safety (34%), emergency pre-medical aid across age groups (30%), nursing management and administration (30%), and pharmacotherapy (6%).
Time limit: 150 min for Ukrainian citizens; 180 min for foreign citizens
Exam / certification fees: Institution-arranged payment; confirm any personal sitting, retake or overseas test-centre charge with your university. Official sources

Using Our Practice Resources

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KROK B Nursing: Suggested Study Strategy

1Master the five stages of the nursing process (assessment, nursing diagnosis, outcome identification/planning, implementation, evaluation) and formulate patient-centered care plans.

2Review infection control protocols in detail, including the 5 moments of hand hygiene (WHO/MOH Order No. 1614), chemical and physical sterilization monitoring, and medical waste segregation (MOH Order No. 1827).

3Practice current Basic Life Support (BLS) algorithms for adults and pediatrics, high-quality chest compressions, AED usage, and trauma pre-medical care principles (MARCH algorithm).

4Learn the legal and organizational duties of the charge nurse and head nurse, clinical documentation standards in eHealth, and narcotic medication storage rules under Decree No. 333.

5Solve dosage and infusion rate calculation problems regularly and know standard nursing actions for acute drug reactions such as anaphylaxis and hypoglycemia.

Frequently Asked Questions

What is KROK B Nursing in Ukraine?

KROK B Nursing (Крок Б. Сестринська справа) is the state licensing and qualification integrated examination taken by graduating Bachelor of Nursing students (specialty 223 'Nursing') as part of the Unified State Qualification Examination (ЄДКІ) administered by the Testing Center of the Ministry of Health of Ukraine.

How does KROK B differ from KROK M Nursing?

KROK M is taken by graduates of professional pre-higher education (professional junior bachelors / фаховий молодший бакалавр), whereas KROK B is taken by graduates completing the first cycle of higher education (Bachelor of Nursing degree / бакалавр). KROK B features higher-level competencies in clinical nursing diagnosis, care planning, infection safety governance, emergency decision-making, and healthcare administration.

What is the official passing score for KROK B Nursing?

The official passing criterion approved by the Ministry of Health of Ukraine (Order No. 1898) is 42.0% of correct answers.

What is the format and duration of the official KROK B Nursing exam?

The official examination comprises 150 single-best-answer multiple-choice questions. Ukrainian citizens have 150 minutes, while foreign citizens have 180 minutes, an additional 30 minutes.

Is this practice bank an official test simulation?

No. OpenExamPrep provides an independent English-language MCQ study adaptation for KROK B Nursing topics. It is not an official translation or a simulation of the exam's language environment or format. It does not replace official preparation materials or the separate practical-oriented qualification assessment.