BRAKES ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Hand hygiene.
Answer: Gel in and gel out for each pt, wash hands after c diff or specific
contact precautions
◍ Name the level of anxietyPerceptual field is so greatly diminished that
concentration centers on only one particular detail or on many extraneous
details. Attention span is extremely limited, and the individual has much
difficulty completing even the simplest task. Can't focus at all! Headaches,
palpitations, insomnia, confusion, dread, horror.
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
D. Panic.
Answer: C. Severe Anxiety
◍ Precautions to prevent transmission of infectious agents.
Answer: Proper hand washing, sanitizing, and appropriate PPE as needed
can help prevent spread from one pt to another
◍ Extended periods of functioning at the panic level of anxiety may result in.
Answer: psychosis
◍ What are the three major elements of informed consent?.
Answer: - Knowledge: client has received adequate information on which to
base their decision- Competency: individual’s cognition is not impaired, if it
, is, the individual has a legal representative- Free Will: individual has given
consent voluntarily without pressure or coercion from others
◍ Involuntary hospitalizations are made for:.
Answer: - person is imminently dangerous to himself or herself (i.e., suicidal
intent).- person is a danger to others (i.e., aggressive, violent, or homicidal).-
person is unable to take care of basic personal needs, look unkempt (the
“gravely disabled”).
◍ Response to pathogen exposure.
Answer: If exposed through cut/needle sticks: Wash the areaIf splashed
around the eyes, nose or mouth: flush the area, Report to your supervisor,
Seek medical attention
◍ PPE.
Answer: Don order: Gown, mask, goggles, glovesDoff order: Gloves,
goggles, gown (touching on the inside), mask (not touching the
front)Standard: Protects against all body & blood secretions and non-intact
skin and membranes (PPE as needed)Airborne: Used with patients
diagnosed with or suspected of being infected with illnesses transmitted by
small airborne particles (respirator or N-95, gown, gloves, and eye
protection)Droplet: Used for disease that are transmitted by larger droplets
Occurs during coughing, sneezing, laughing etc. (eyes, nose, mouth fully
covered, gloves)Contact: To prevent transmission of diseases transmitted by
direct contact with the client or infected material or area C. Difficile: forms
a spore that are not killed by alcohol based hand sanitizer (Gloves and
gown)Protective/Neutropenic: Patients with low blood counts r/t cancer or
chemo, burns, transplant or other immunosuppressed states. (No fresh fruits,
veggies, plants, flowers. Gel in and out.
◍ Ethical issues in psychiatric/mental health nursing include:.
Answer: - The right to treatment- The right to refuse treatment (including
medication)- The right to the least restrictive treatment alternative
◍ Restraints (types, uses, safety).
Answer: Belts and vests, bed rail, mittens, etc. They are used to prevent
, injury to nurse or pt. Assess before and after for mobility and overall health
of pt. Remove periodically according to hospital guidelines
◍ Do we ever want to "fix" ego defense mechanisms or take them away?.
Answer: No! They are employed for protection.
◍ Fall Risk Assessment/Prevention.
Answer: -Use fall risk calculator- If pt has had fall in last 6 months,
automatically a fall risk-Use different things to help like: gait belt,
mechanical lift, walker, etc. -Used to calculate the fall risk for a pt based on
several factors like: age, fall history, excretion, meds, pt care equipment,
mobility, and cognition.
◍ Subjective/Objective data.
Answer: Subjective- What the patient tells youObjective- what you detect
during exam
◍ An ___________ ____________ is a situation that requires an individual to
make a choice between two equally balanced alternatives. There is no clear
reason to choose one action over another..
Answer: - Ethical dilemmaTaking no action is considered an action taken
◍ Principles of HIPPA and Confidentiality.
Answer: Health insurance portability and accountability act: Aims to
protect/enforce: Privacy, Security, Transaction, Identifiers, and Enforcement
rules
◍ Appropriate delegation practices.
Answer: Performance Skills #1 Wash hands#2 Perform Oral Hygiene#3
Shave a Resident#4 Perform Nail Care#5 Perform Perineal Care#6 Give
Partial Bath#7 Give a Shower or Tub Bath#8 Make Occupied Bed#9 Dress a
Resident#10 Transfer Resident to Wheelchair Using a Transfer Belt#11
Transfer Using Mechanical Lift#12 Ambulate with Transfer Belt#13 Feed A
Resident#14 Calculate Intake and Output#15 Place Resident in a Side-Lying
Position#16 Perform PROM#17 Apply and Remove PPE#18 Measure and
Record T, P, R#19 Measure and Record BP #20 Measure and Record
, Weight#21 Measure and Record Height
◍ What is the least restrictive restraint.
Answer: chemical restraints
◍ SBAR.
Answer: Situation Background Assessment Recommendations
◍ Client Prioritization.
Answer: -Prioritize clients based on ABC status-Most urgent threat to life
should be seen/treated first
◍ I & O.
Answer: -Measuring all the fluids that enter and exit the pt's body1 tsp =
5ml1 oz = 30ml1 cup = 8oz~2000mL every 24 hours I&O
◍ Client elimination needs.
Answer: Never leave client alone on toilet, use bedpan or urinal, return bed
to lowest position, provide privacy and call light for bed pan only.
◍ Threatening to restrain a patient and then tying the patient down is
considered.
Answer: assault and battery
◍ A patient tells the nurse she reminds him of his late wife. What should the
nurse do?.
Answer: clarify the nurse-patient relationship
◍ Name the therapeutic communication technique:"What could you do
differently if you are faced with this situation in the future?""What are some
steps you could take to manage your anger without punching
someone?""What is one thing you might be willing to try to decrease your
anxiety instead of using alcohol?".
Answer: - Formulating a plan of actionEncourage the patient to identify a
plan for behavior change. This promotes developing better coping skills.
◍ hygiene/basic care & comfort for a bed-bound client.
Answer: Perform bed baths, rotate patient, monitor for pressure ulcers,