1.Easy
The term "dyspnoea" means:
- AA cough with sputum
- BBreathlessness
- CNoisy breathing during sleep
- DChest pain on breathing
2.Easy
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy makes the skin thicker
- BChemotherapy stops the patient from sweating
- CChemotherapy raises the white cell count too high for it to work properly
- DChemotherapy suppresses the bone marrow and lowers the white cell count
3.Easy
The MUST tool is used to screen adults for:
- ADepression
- BMalnutrition
- CPressure ulcer risk
- DRisk of falls
4.Medium
Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?
- AHypertension
- BHyperthyroidism
- CHyperventilation
- DHypoxia
5.Medium
A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?
- AThe lung has fully re-expanded
- BAn air leak, from the lung or from the drainage system
- CThe drain is blocked
- DThe drain is working normally for a fluid collection only
6.Medium
A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?
- AA urinary tract infection
- BNormal dialysis fluid
- CPeritonitis
- DConstipation
7.Hard
A patient with a head injury has a GCS that falls from 14 to 10 and one pupil becomes larger and slow to react. What should the nurse do?
- AEncourage the patient to sleep
- BEscalate immediately as a neurological emergency
- CRecheck the GCS at the next routine observation round
- DGive a sedative to calm the patient
8.Hard
Which nursing assessment best helps detect early deterioration in a patient after major surgery?
- AChecking the wound only at discharge
- BAsking the patient only whether they feel well
- CMeasuring temperature once a day
- DRegular full sets of observations with an early warning score and trend review
Answer key
- 1. B · Breathlessness
- 2. D · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 3. B · Malnutrition
- 4. D · Hypoxia
- 5. B · An air leak, from the lung or from the drainage system
- 6. C · Peritonitis
- 7. B · Escalate immediately as a neurological emergency
- 8. D · Regular full sets of observations with an early warning score and trend review
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