1.Easy
The term "tinnitus" means:
- AA blocked nose
- BLoss of balance and dizziness
- CBlurred vision
- DRinging or buzzing in the ears
2.Easy
Which type of pain is typical of a kidney stone?
- AA burning pain behind the breastbone after meals
- BA tight band around the head
- CSevere, colicky pain from the loin towards the groin
- DA dull ache in both knees
3.Easy
A "sublingual" medicine is given:
- AUnder the tongue
- BBetween the cheek and gum
- CInto the vein
- DThrough the nose
4.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?
- AWeigh the patient again in six months and review at that point
- 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
- DEncourage a low-calorie diet
5.Medium
Why are patients with atrial fibrillation often given anticoagulants?
- ATo convert the rhythm back to normal
- BTo reduce the risk of stroke from clots in the atria
- CTo slow the heart rate directly and prevent palpitations
- DTo lower the blood pressure
6.Medium
Compared with a colostomy, a patient with an ileostomy is at greater risk of:
- ADehydration and electrolyte loss from liquid output
- BHard stools, straining and constipation from slow transit
- CLow blood glucose after meals
- DUrinary retention
7.Hard
Which patient should the nurse assess first?
- AA patient with COPD whose SpO2 is 89% and within their target range
- BA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
- CA patient with asthma who can only speak in single words
- DA postoperative patient who rates their pain as 6/10
8.Hard
A patient's blood test shows potassium 6.8 mmol/L and the ECG shows peaked T waves. Which treatment protects the heart most quickly?
- AFurosemide tablets the next day
- BA low-potassium diet only
- CIV calcium gluconate
- DOral potassium supplements
Answer key
- 1. D · Ringing or buzzing in the ears
- 2. C · Severe, colicky pain from the loin towards the groin
- 3. A · Under the tongue
- 4. C · Refer to the dietitian and start a nutrition care plan with food charts
- 5. B · To reduce the risk of stroke from clots in the atria
- 6. A · Dehydration and electrolyte loss from liquid output
- 7. C · A patient with asthma who can only speak in single words
- 8. C · IV calcium gluconate
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