Free ADC questions.
Answers explained.

1. Rely on the signed form and begin.
2. Ask her sister to decide for her.
3. Clarify Mina’s understanding and arrange suitable communication support.
4. Repeat the same explanation more quickly.

Answer: C. The signature alone does not establish understanding. Address Mina’s stated communication need before seeking a decision.

• A. A form does not resolve her expressed uncertainty.
• B. The scenario gives no basis to replace her decision.
• C. This supports an informed decision.
• D. Speed does not address the language barrier.

1. Ask her sister whether that is acceptable.
2. Offer a private discussion and respect Mina’s preference.
3. Explain that relatives must hear the whole consultation.
4. Cancel because the family does not agree.

Answer: B. The patient should have a say in who is involved. Offer the privacy Mina has requested.

• A. This gives the relative control over Mina’s request.
• B. This respects Mina’s involvement and privacy.
• C. A blanket rule removes patient choice.
• D. A private conversation does not require cancellation.

1. Proceed because the form was signed.
2. Ask her sister to overrule her.
3. Explain that cancellation is never possible.
4. Pause and discuss her decision without pressuring her.

Answer: D. Consent can generally be withdrawn. This is a non-urgent situation, and Mina has clearly changed her decision.

• A. Prior consent is not irrevocable.
• B. Her sister cannot simply override her.
• C. That absolute claim is incorrect.
• D. This respects the changed decision.

1. Discuss relevant benefits, risks and alternatives in understandable language.
2. Give only the option the clinician prefers.
3. Wait until after treatment to discuss risks.
4. Ask her to sign another copy instead.

Answer: A. Useful information enables participation in decisions. Address the options and questions Mina has raised.

• A. This supports informed participation.
• B. Preference alone is not a balanced discussion.
• C. The decision needs information before treatment.
• D. Another signature does not answer her questions.

1. She cannot understand the options despite appropriate support.
2. She struggles with English medical terminology.
3. She cannot communicate a decision despite appropriate support.
4. She cannot weigh the information relevant to this decision.

Answer: B. A communication difficulty is not, by itself, proof of incapacity. Provide appropriate support rather than making that assumption.

• A. This may warrant a decision-specific assessment.
• B. Language support should be considered.
• C. This may warrant further assessment.
• D. This concerns decision-making ability.

1. Use standard precautions only if symptoms appear.
2. Omit precautions because the history is negative.
3. Use standard precautions for this patient.
4. Use precautions only for surgical appointments.

Answer: C. Standard precautions apply to every patient, including when no infection is known.

• A. Waiting for symptoms is insufficient.
• B. A negative history does not remove the requirement.
• C. This is the correct starting point.
• D. Routine care also requires precautions.

1. Perform hand hygiene.
2. Skip hand hygiene because gloves are clean.
3. Only inspect the glove box.
4. Wait until the end of the appointment.

Answer: A. Glove use does not replace hand hygiene before putting gloves on.

• A. This follows the hand-hygiene guidance.
• B. Gloves are not a substitute.
• C. Checking packaging does not clean hands.
• D. A later action does not replace this moment.

1. Keep working if there are no visible tears.
2. Put the used gloves aside for the next patient.
3. Touch clean supplies before any hand hygiene.
4. Perform hand hygiene.

Answer: D. Hand hygiene is required after glove removal, even when gloves appeared intact.

• A. Appearance does not remove the need.
• B. Used single-use gloves should be discarded.
• C. Clean supplies should not be handled with potentially contaminated hands.
• D. This addresses possible contamination during removal.

1. Put gloves on over the soil.
2. Wash with soap and water.
3. Use a dry tissue only.
4. Ignore it if the next task is brief.

Answer: B. Visible soiling calls for washing with soap and water.

• A. Gloves do not remove soil.
• B. This is the appropriate hand-cleaning approach.
• C. A dry wipe is insufficient.
• D. Task duration does not change the need.

1. They are limited to wearing gloves.
2. They are optional for patients attending regularly.
3. They combine measures such as hand hygiene, appropriate PPE and safe sharps handling.
4. They apply only after a positive infection test.

Answer: C. Standard precautions are a set of complementary measures, not a single item of protective equipment.

• A. Gloves are only one component.
• B. Familiarity does not remove the requirement.
• C. This reflects the combined approach.
• D. Testing is not the trigger for standard precautions.