1.Easy
The WHO Surgical Safety Checklist is mainly used to:
- AReduce avoidable errors and harm during surgery
- BMeasure the surgeon's speed
- CRecord the cost of the operation and the equipment
- DBook the next theatre list
2.Easy
In the chain of infection, hand hygiene mainly breaks which link?
- AThe mode of transmission
- BThe susceptibility of the host
- CThe reservoir of infection
- DThe infectious agent's ability to grow
3.Easy
Which of these is one of the WHO "5 Moments for Hand Hygiene"?
- ABefore touching a patient
- BBefore entering the hospital building
- COnly after removing gloves at the end of a shift
- DOnly when the hands look visibly dirty
4.Medium
What happens in third-degree (complete) heart block?
- ANo impulses from the atria reach the ventricles, so they beat independently
- BEvery impulse reaches the ventricles, but each one is slightly delayed
- CThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- DThe ventricles beat very fast and regularly
5.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- APhone the patient's family
- BComplete the incident report form
- CLift the patient straight back into bed so they are comfortable
- DCheck the patient for injuries before moving them
6.Medium
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
- ATell them to double the dose
- BReassure them that this is a sign the drug is working
- CAdvise more vigorous exercise to work through it
- DReport it, as statins can cause muscle damage
7.Hard
During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?
- ATransfusion-associated circulatory overload
- BAnaphylaxis
- CA febrile non-haemolytic reaction
- DTransfusion-related acute lung injury with hypotension
8.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient awaiting discharge with stable observations
- BA patient with new-onset confusion and a respiratory rate of 28/min
- CA patient with chronic back pain scored 4/10
- DA patient asking for a laxative
Answer key
- 1. A · Reduce avoidable errors and harm during surgery
- 2. A · The mode of transmission
- 3. A · Before touching a patient
- 4. A · No impulses from the atria reach the ventricles, so they beat independently
- 5. D · Check the patient for injuries before moving them
- 6. D · Report it, as statins can cause muscle damage
- 7. A · Transfusion-associated circulatory overload
- 8. B · A patient with new-onset confusion and a respiratory rate of 28/min
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