1.Easy
Leukaemia is a cancer of:
- AThe blood-forming cells of the bone marrow
- BThe thyroid gland
- CThe skin
- DThe lining of the stomach and small bowel
2.Easy
What is the usual target oxygen saturation (SpO2) for most acutely ill adults without risk of hypercapnia?
- A88–92% for everyone
- B100% at all times
- C94–98%
- D80–84%
3.Easy
What is the usual normal white cell count in adults?
- AAbout 50–80 × 109/L (50,000–80,000/mm3)
- BAbout 150–400 × 109/L (150,000–400,000/mm3)
- CAbout 4–11 × 109/L (4,000–11,000/mm3)
- DAbout 0.1–0.5 × 109/L (100–500/mm3)
4.Medium
Within which time window is IV thrombolysis generally given for acute ischaemic stroke?
- AOnly after 24 hours
- BWithin 48 hours of the onset of symptoms
- CWithin 4.5 hours of symptom onset
- DAt any time within a week
5.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- APhone the patient's family
- BCheck the patient for injuries before moving them
- CLift the patient straight back into bed so they are comfortable
- DComplete the incident report form
6.Medium
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AOnly with the patient lying flat
- BDriven by compressed air, with oxygen given separately if needed
- CWithout monitoring oxygen saturation
- DDriven by high-flow oxygen at 15 L/min for as long as possible
7.Hard
A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?
- A"I will change the injection site each time."
- B"I will report any unusual bleeding or bruising."
- C"I will inject into the fatty tissue of my abdomen."
- D"I will rub the area firmly after the injection."
8.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?
- AHypothermia from the fire service water
- BA minor throat infection
- CAirway swelling from inhalation injury
- DDehydration from sweating
Answer key
- 1. A · The blood-forming cells of the bone marrow
- 2. C · 94–98%
- 3. C · About 4–11 × 109/L (4,000–11,000/mm3)
- 4. C · Within 4.5 hours of symptom onset
- 5. B · Check the patient for injuries before moving them
- 6. B · Driven by compressed air, with oxygen given separately if needed
- 7. D · "I will rub the area firmly after the injection."
- 8. C · Airway swelling from inhalation injury
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