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In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:

1. A10 mmol/L
2. B7 mmol/L
3. C1 mmol/L
4. D4 mmol/L

What is the most reliable indicator of pain in a patient who can communicate?

1. AThe nurse's impression of their face
2. BThe patient's own report
3. CThe patient's blood pressure
4. DThe patient's heart rate

What is the Bristol Stool Chart used for?

1. AMeasuring how much food a patient eats each day
2. BRecording the frequency of urination
3. CClassifying the form and consistency of stools
4. DScoring the risk of pressure ulcers

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

1. AGlucose, because both drugs cause hyperglycaemia
2. BSodium, because both drugs raise it sharply
3. CCalcium, because both drugs lower it
4. DPotassium, because both drugs can raise it

What is the most common cause of hypernatraemia in frail older inpatients?

1. ATaking too many vitamins
2. BToo much exercise
3. CNot drinking enough water
4. DEating too much salt in one meal

When is a rapid-acting insulin such as insulin aspart usually given?

1. AOnly at bedtime
2. BOnce a week
3. CJust before or with a meal
4. DTwo hours after finishing a meal

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. AChange the subject quickly to keep them cheerful and avoid upsetting them
2. BGently explore what the patient understands and what has prompted the question
3. CTell the patient not to think about such things and to stay positive
4. DLeave and send the doctor without saying anything

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AHyperextending the neck
2. BTurning the head to one side
3. CHead tilt with chin lift
4. DJaw thrust