DOH Q&A Bank

DOH nursing questions and answers, written the way the exam asks them

Single-best-answer stems with full rationales for every option. The bank is tagged by domain so you can drill exactly the DOH topics your mock scores say are weak.

What the bank drills

Sepsis and deterioration recognitionDocumentation and SBAR escalationHigh-alert medication double checksImmunisation and community healthConsent and safeguardingInfection prevention bundles

Sample DOH questions with rationales

Deterioration

A post-operative patient has a temperature of 38.9°C, HR 122 and BP 88/54. What does the nurse do first?

Escalate using SBAR and start the sepsis bundle — cultures, then antibiotics and fluids.

Why: These observations meet sepsis criteria. Time to antibiotics drives mortality, but cultures must be drawn first so they remain diagnostic.

Documentation

A nurse notices a wrong entry made an hour ago in the paper chart. What is correct practice?

Draw a single line through it, write the correction, then date and initial.

Why: The original entry must stay legible. Correction fluid, overwriting or erasing is treated as record tampering.

Medication safety

Two insulin products with similar names are stocked together. What is the safest nursing action?

Separate the products, apply tall-man lettering and use an independent second check.

Why: Look-alike/sound-alike storage is a recognised system error; the fix is environmental plus a verification step, not extra caution alone.

Consent

A 15-year-old needs a non-emergency procedure. Who consents?

The parent or legal guardian, with the adolescent's assent documented.

Why: Minors cannot give legal consent for elective care, but their agreement is recorded as part of respectful, developmentally appropriate practice.

How to answer a DOH stem

  1. 1. Read the last line first — it tells you whether the question wants an assessment, an action or a teaching point.
  2. 2. Decide whether the patient is stable. Unstable means airway, breathing, circulation before anything else.
  3. 3. Eliminate any option that delegates, delays or documents when the patient needs the nurse now.
  4. 4. Between two clinically correct options, choose the one the nurse can do independently and immediately.
  5. 5. Never change an answer without a reason you can put into words.

Ready to start your DOH preparation?

Every plan is a single payment with lifetime access. Switch exam track at any time — the licence rules change, the nursing science does not.

See DOH plans