1.Easy
Which sign is typical of right-sided heart failure?
- ASwollen ankles and a raised jugular venous pressure
- BCrackles in both lungs and pink frothy sputum
- CA high fever with rigors
- DPinpoint pupils, drowsiness and a slow breathing rate
2.Easy
Before giving the first dose of an antibiotic, what must the nurse check?
- AThe patient's height
- BThe time of the patient's last meal
- CThe patient's allergy status
- DThe patient's blood group
3.Easy
What is the immediate first aid after a needlestick injury?
- AIgnore it if the needle looked clean
- BSuck the wound to remove the blood, then cover it with a plaster
- CWash the wound with soap and running water without scrubbing
- DScrub the wound hard with a brush
4.Medium
Modern wound care generally aims to keep a healing wound bed:
- ASoaked in antiseptic solution every day
- BCompletely dry and open to the air
- CTightly packed with dry gauze
- DMoist but not wet
5.Medium
What should a patient starting oral iron tablets be told?
- AThey must take the tablets with strong tea
- BTheir stools may turn dark or black
- CThe tablets will cause weight loss
- DTheir urine will turn bright green
6.Medium
After thyroid surgery, a patient has tingling around the mouth and muscle cramps. Which electrolyte problem should be suspected?
- AHypermagnesaemia
- BHyperkalaemia
- CHypernatraemia
- DHypocalcaemia
7.Hard
A patient with a central venous catheter suddenly becomes breathless and hypotensive while the line is being disconnected with the patient sitting up. What complication is most likely?
- AHypoglycaemia
- BPhlebitis
- CAir embolism
- DPneumonia
8.Hard
Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?
- AOral tablet dissolved under the tongue
- BIntravenous bolus given by the nurse without monitoring
- CIntramuscular injection into the anterolateral thigh
- DSubcutaneous injection into the upper arm
Answer key
- 1. A · Swollen ankles and a raised jugular venous pressure
- 2. C · The patient's allergy status
- 3. C · Wash the wound with soap and running water without scrubbing
- 4. D · Moist but not wet
- 5. B · Their stools may turn dark or black
- 6. D · Hypocalcaemia
- 7. C · Air embolism
- 8. C · Intramuscular injection into the anterolateral thigh
Full step-by-step solutions: practise this topic on examproblems.com.