1.Easy
What is the normal pH range of arterial blood?
- A6.85–6.95
- B7.35–7.45
- C7.55–7.65
- D7.00–7.10
2.Easy
Which symptom is the most typical of a heart attack (myocardial infarction)?
- APain only in the lower right abdomen
- BSharp pain that worsens on deep breathing and eases when leaning forward
- CCentral chest pain or pressure that may spread to the arm or jaw
- DSharp pain when pressing on one rib
3.Easy
A patient with suspected pulmonary tuberculosis should be cared for using:
- ANo special precautions
- BAirborne precautions in a single room
- CContact precautions only
- DStandard precautions only on an open ward
4.Medium
What is the best way to protect the heels of a bed-bound patient from pressure damage?
- AOffload the heels so they do not touch the mattress
- BApply a tight bandage to the heels
- CMassage the heels firmly several times a day to help circulation
- DRest the heels on a rolled-up towel
5.Medium
Which equipment must always be kept at the bedside of a patient with a tracheostomy?
- AA blood pressure cuff and a spare nasal cannula and oxygen mask only
- BA peak flow meter and a nebuliser
- CA blood glucose meter and a spare urinary catheter of the same size
- DSpare tracheostomy tubes, including one a size smaller, and working suction
6.Medium
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ASit down before using it, as it can cause dizziness and low blood pressure
- BTake it with a large glass of milk to protect the stomach lining
- CSwallow the spray rather than leaving it under the tongue
- DUse it only after the pain has lasted over an hour, with the patient lying flat
7.Hard
A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?
- AAirway swelling from inhalation injury
- BDehydration from sweating
- CHypothermia from the fire service water
- DA minor throat infection
8.Hard
A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?
- APrescribing only the medicines that the patient can remember taking
- BDoubling the doses to make up for any missed while at home
- CStopping all regular medicines until the day the patient is discharged
- DMedicines reconciliation against reliable sources, such as primary care records
Answer key
- 1. B · 7.35–7.45
- 2. C · Central chest pain or pressure that may spread to the arm or jaw
- 3. B · Airborne precautions in a single room
- 4. A · Offload the heels so they do not touch the mattress
- 5. D · Spare tracheostomy tubes, including one a size smaller, and working suction
- 6. A · Sit down before using it, as it can cause dizziness and low blood pressure
- 7. A · Airway swelling from inhalation injury
- 8. D · Medicines reconciliation against reliable sources, such as primary care records
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