1.Easy
Why are patients encouraged to get out of bed early after surgery?
- ATo make the wound heal without stitches
- BTo reduce the risk of blood clots and chest infections
- CTo increase blood pressure permanently
- DTo shorten the sedating effect of the general anaesthetic
2.Easy
What is the normal pH range of arterial blood?
- A7.55–7.65
- B7.35–7.45
- C6.85–6.95
- D7.00–7.10
3.Easy
Why should insulin injection sites be rotated?
- ATo stop the insulin from freezing under the skin
- BTo make the insulin work more slowly and evenly every time
- CTo prevent lumpy fatty areas that make absorption unpredictable
- DBecause insulin causes the skin to bleed if one site is used often
4.Medium
A patient with hyponatraemia should be especially monitored for:
- AHearing loss
- BIncreased hair growth
- CBright red rash
- DConfusion, headache and seizures
5.Medium
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
- AEncourage a low-calorie diet
- BRestrict fluids to encourage appetite and give a low-protein diet instead
- CRefer to the dietitian and start a nutrition care plan with food charts
- DWeigh the patient again in six months and review at that point
6.Medium
What is the main benefit of pulmonary rehabilitation for patients with COPD?
- AReversal of the lung damage caused by smoking
- BA cure for the disease within months
- CNo further need for inhalers
- DBetter exercise capacity and quality of life
7.Hard
Why is hypokalaemia particularly dangerous in a patient taking digoxin?
- ALow potassium stops digoxin from being absorbed
- BLow potassium increases the risk of digoxin toxicity
- CLow potassium makes digoxin work too slowly
- DDigoxin raises potassium to dangerous levels when it is already low
8.Hard
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"His blood pressure is 85/50 and he is confused."
- B"I am calling about Mr Smith, who is breathless."
- C"He was admitted three days ago with pneumonia."
- D"Please review him within the next 15 minutes."
Answer key
- 1. B · To reduce the risk of blood clots and chest infections
- 2. B · 7.35–7.45
- 3. C · To prevent lumpy fatty areas that make absorption unpredictable
- 4. D · Confusion, headache and seizures
- 5. C · Refer to the dietitian and start a nutrition care plan with food charts
- 6. D · Better exercise capacity and quality of life
- 7. B · Low potassium increases the risk of digoxin toxicity
- 8. D · "Please review him within the next 15 minutes."
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