1.Easy
Shingles (herpes zoster) is caused by:
- AReactivation of the chickenpox virus
- BA fungal infection of the nerves
- CA bacterial skin infection
- DAn allergy to medicines
2.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AGive rescue breaths
- BHold the patient's hand
- CStand clear and not touch the patient
- DKeep doing chest compressions without pausing
3.Easy
Which pair of symptoms is typical of hyperglycaemia?
- AIncreased thirst and passing large amounts of urine
- BSlow pulse and cold, pale skin
- CPinpoint pupils and slow breathing
- DSweating, trembling hands and a sudden feeling of hunger
4.Medium
Compared with a colostomy, a patient with an ileostomy is at greater risk of:
- AHard stools, straining and constipation from slow transit
- BDehydration and electrolyte loss from liquid output
- CLow blood glucose after meals
- DUrinary retention
5.Medium
Which group of symptoms suggests hypothyroidism?
- ATiredness, weight gain and feeling cold
- BFever, neck stiffness and photophobia
- CExcessive thirst and passing large volumes of urine
- DWeight loss, heat intolerance and tremor
6.Medium
Which assessment best detects compartment syndrome after a fractured leg is put in a cast?
- AA warm, pink foot
- BPain out of proportion to the injury, especially on passive stretch
- CA strong pulse in the foot
- DMild itching under the cast
7.Hard
A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?
- AA stroke
- BAnaphylaxis
- CA hypoglycaemic coma
- DVasovagal syncope
8.Hard
A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?
- AGive another dose of fast-acting carbohydrate and recheck
- BGive a dose of subcutaneous insulin
- CTake no action because the level is rising
- DGive a long-acting carbohydrate snack only and recheck tomorrow
Answer key
- 1. A · Reactivation of the chickenpox virus
- 2. C · Stand clear and not touch the patient
- 3. A · Increased thirst and passing large amounts of urine
- 4. B · Dehydration and electrolyte loss from liquid output
- 5. A · Tiredness, weight gain and feeling cold
- 6. B · Pain out of proportion to the injury, especially on passive stretch
- 7. D · Vasovagal syncope
- 8. A · Give another dose of fast-acting carbohydrate and recheck
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