1.Easy
What is a normal capillary refill time in an adult?
- AMore than 15 seconds
- B2 seconds or less
- C8–10 seconds
- D5–6 seconds
2.Easy
Which hormone made by the kidneys stimulates red blood cell production?
- AThyroxine
- BAldosterone
- CErythropoietin
- DInsulin
3.Easy
The term "bradycardia" in an adult means a heart rate:
- ABetween 60 and 100 beats per minute
- BAbove 100 beats per minute
- CThat is irregularly irregular
- DBelow 60 beats per minute
4.Medium
Long-term amiodarone treatment can affect which of the following?
- AHair colour and nail growth only, with no effect on organs
- BBlood glucose and cholesterol only
- CThyroid function, the lungs and the skin's sensitivity to sunlight
- DThe sense of smell and taste only, with no other effects
5.Medium
How does ulcerative colitis differ from Crohn's disease?
- AUlcerative colitis can affect any part of the gut from mouth to anus
- BUlcerative colitis affects only the colon, continuously from the rectum
- CUlcerative colitis typically causes patchy "skip" lesions
- DUlcerative colitis always affects the full thickness of the bowel wall
6.Medium
When a patient returns to the ward from theatre, what should the nurse assess first?
- AThe discharge date
- BThe patient's dietary preferences for the next meal
- CWhether visitors are waiting to see the patient
- DAirway, breathing, circulation and level of consciousness
7.Hard
A patient on an opioid PCA pump has a respiratory rate of 7/min and is difficult to rouse. What should be done first?
- ARecord the observations and recheck them at the next four-hourly round
- BEncourage the patient to press the PCA button more often for comfort
- CIncrease the PCA bolus dose because the patient may be in pain
- DStop the PCA, rouse the patient, give oxygen and get naloxone given
8.Hard
A patient on enteral tube feeding after a long period of starvation develops low phosphate, low potassium and arrhythmias. What is most likely?
- ARefeeding syndrome
- BHyperthyroidism
- CDumping syndrome
- DDiabetic ketoacidosis
Answer key
- 1. B · 2 seconds or less
- 2. C · Erythropoietin
- 3. D · Below 60 beats per minute
- 4. C · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 5. B · Ulcerative colitis affects only the colon, continuously from the rectum
- 6. D · Airway, breathing, circulation and level of consciousness
- 7. D · Stop the PCA, rouse the patient, give oxygen and get naloxone given
- 8. A · Refeeding syndrome
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