1.Easy
Which tool is used to assess a patient's risk of developing pressure ulcers?
- AThe Glasgow Coma Scale
- BThe Braden or Waterlow scale
- CThe Apgar score
- DThe Mini-Mental State Examination
2.Easy
Which description is typical of neuropathic pain?
- AA dull ache that is only present during exercise
- BA pain that only occurs after meals
- CA sharp pain only when the skin is cut
- DBurning, shooting or tingling pain
3.Easy
Which finding is typical of a urinary tract infection?
- ARinging in the ears
- BBurning on urination and frequency
- CSwelling of both ankles and lower legs
- DBlack stools
4.Medium
When a patient returns to the ward from theatre, what should the nurse assess first?
- AAirway, breathing, circulation and level of consciousness
- BWhether visitors are waiting to see the patient
- CThe patient's dietary preferences for the next meal
- DThe discharge date
5.Medium
Which finding with a groin hernia needs urgent surgical review?
- AThe lump disappears completely when the patient lies down flat
- BThe lump has been present for several years without pain
- CThe lump gets bigger when the patient coughs
- DThe lump has become painful and tender and cannot be pushed back
6.Medium
A patient started on an ACE inhibitor develops a persistent dry cough. What is the likely cause?
- AAsthma caused by a beta-blocker
- BAn allergic reaction to a recently given penicillin
- CPulmonary embolism
- DA recognised side effect of the ACE inhibitor
7.Hard
Which nursing measure helps reduce raised intracranial pressure?
- AFrequent suctioning and encouraging strong coughing
- BRaising the head of the bed to about 30° with the head kept midline
- CTilting the patient head-down
- DLying the patient flat with the neck flexed forward on two pillows
8.Hard
A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?
- AA stye
- BDry eye syndrome
- CAcute angle-closure glaucoma
- DSimple conjunctivitis from a viral infection
Answer key
- 1. B · The Braden or Waterlow scale
- 2. D · Burning, shooting or tingling pain
- 3. B · Burning on urination and frequency
- 4. A · Airway, breathing, circulation and level of consciousness
- 5. D · The lump has become painful and tender and cannot be pushed back
- 6. D · A recognised side effect of the ACE inhibitor
- 7. B · Raising the head of the bed to about 30° with the head kept midline
- 8. C · Acute angle-closure glaucoma
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