1.Easy
Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?
- ATo keep the drug at the right temperature during use
- BTo make the drug work faster
- CTo stop the patient from seeing the drug
- DTo protect themselves from exposure to hazardous drugs
2.Easy
The WHO Surgical Safety Checklist is mainly used to:
- ARecord the cost of the operation and the equipment
- BMeasure the surgeon's speed
- CBook the next theatre list
- DReduce avoidable errors and harm during surgery
3.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AKeep doing chest compressions without pausing
- BStand clear and not touch the patient
- CHold the patient's hand
- DGive rescue breaths
4.Medium
Why are patients asked to fast before a general anaesthetic?
- ATo lower the blood glucose before surgery
- BTo prevent postoperative constipation and abdominal bloating
- CTo make the surgery shorter
- DTo reduce the risk of aspirating stomach contents
5.Medium
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AKeep the arm raised and still at all times
- BAvoid blood pressure readings and blood samples on that arm
- CApply a tight bandage over the fistula at night to protect it
- DUse the fistula arm for routine IV cannulas
6.Medium
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids always cause hypoglycaemia
- BSteroids make glucose meters inaccurate
- CSteroids destroy the pancreas
- DSteroids can raise the blood glucose
7.Hard
A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?
- AThe patient has pain behind the ear
- BThe whole of one side of the face, including the forehead, is weak
- CThe forehead can still be wrinkled on the affected side
- DThe patient has had a recent cold
8.Hard
A patient on enteral tube feeding after a long period of starvation develops low phosphate, low potassium and arrhythmias. What is most likely?
- ADiabetic ketoacidosis
- BDumping syndrome
- CHyperthyroidism
- DRefeeding syndrome
Answer key
- 1. D · To protect themselves from exposure to hazardous drugs
- 2. D · Reduce avoidable errors and harm during surgery
- 3. B · Stand clear and not touch the patient
- 4. D · To reduce the risk of aspirating stomach contents
- 5. B · Avoid blood pressure readings and blood samples on that arm
- 6. D · Steroids can raise the blood glucose
- 7. C · The forehead can still be wrinkled on the affected side
- 8. D · Refeeding syndrome
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