1.Easy
The term "haemoptysis" means:
- APassing blood in the urine
- BA nosebleed
- CVomiting blood
- DCoughing up blood
2.Easy
The term "hypernatraemia" means:
- AA high serum sodium level
- BA high blood glucose level
- CA low serum sodium level
- DA high serum potassium level
3.Easy
"Coffee-ground" vomit suggests:
- ABleeding in the upper gastrointestinal tract
- BKidney failure
- CBowel obstruction low in the colon
- DFood poisoning with vomiting but without any bleeding
4.Medium
Why are patients with atrial fibrillation often given anticoagulants?
- ATo slow the heart rate directly and prevent palpitations
- BTo convert the rhythm back to normal
- CTo lower the blood pressure
- DTo reduce the risk of stroke from clots in the atria
5.Medium
A patient is newly confused, has a respiratory rate of 24/min and a systolic blood pressure of 95 mmHg. What should you suspect first?
- AAlcohol intoxication
- BNormal postoperative recovery
- CAnxiety
- DSepsis
6.Medium
A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?
- APeritonitis
- BA urinary tract infection
- CConstipation
- DNormal dialysis fluid
7.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 asking for a laxative
- DA patient with chronic back pain scored 4/10
8.Hard
A patient after major surgery has a falling blood pressure, rising heart rate and a swollen, tense abdomen, though the wound dressing is dry. What should you suspect?
- ANormal postoperative swelling with no concern
- BInternal bleeding
- CUrinary tract infection
- DConstipation
Answer key
- 1. D · Coughing up blood
- 2. A · A high serum sodium level
- 3. A · Bleeding in the upper gastrointestinal tract
- 4. D · To reduce the risk of stroke from clots in the atria
- 5. D · Sepsis
- 6. A · Peritonitis
- 7. B · A patient with new-onset confusion and a respiratory rate of 28/min
- 8. B · Internal bleeding
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