1.Easy
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A7 mmol/L
- B10 mmol/L
- C1 mmol/L
- D4 mmol/L
2.Easy
What is a typical SpO2 in a healthy adult at rest breathing room air?
- AAbout 75–80%
- BAbout 95–100%
- CAbout 60–70%
- DAbout 85–88%
3.Easy
A pneumothorax is:
- AA blood clot in the lung arteries
- BFluid in the alveoli, usually from heart failure
- CAn infection of the lung tissue, usually caused by bacteria
- DAir in the pleural space, causing the lung to collapse
4.Medium
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids make glucose meters inaccurate
- BSteroids always cause hypoglycaemia
- CSteroids destroy the pancreas
- DSteroids can raise the blood glucose
5.Medium
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AApply a tight bandage over the fistula at night to protect it
- BAvoid blood pressure readings and blood samples on that arm
- CKeep the arm raised and still at all times
- DUse the fistula arm for routine IV cannulas
6.Medium
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- ANon-rebreathe mask with reservoir bag at 15 L/min
- BNasal cannula at 2 L/min
- CVenturi mask set to 24%
- DSimple face mask at 5 L/min with the patient sitting up
7.Hard
A patient on IV vancomycin develops flushing and an itchy red rash on the face and neck during a fast infusion. What is the most likely cause and response?
- AInfusion-related reaction; stop or slow the infusion and inform the prescriber
- BSunburn; apply cream and continue
- CLiver failure; stop all medicines permanently
- DNormal response; increase the infusion rate
8.Hard
A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?
- A"I can push a knitting needle down the cast to scratch an itch."
- B"I will come back if my toes go numb or turn blue."
- C"I will keep the cast dry."
- D"I will keep my leg raised on pillows for the first few days."
Answer key
- 1. D · 4 mmol/L
- 2. B · About 95–100%
- 3. D · Air in the pleural space, causing the lung to collapse
- 4. D · Steroids can raise the blood glucose
- 5. B · Avoid blood pressure readings and blood samples on that arm
- 6. A · Non-rebreathe mask with reservoir bag at 15 L/min
- 7. A · Infusion-related reaction; stop or slow the infusion and inform the prescriber
- 8. A · "I can push a knitting needle down the cast to scratch an itch."
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