1.Easy
How should nursing records be written?
- AIn pencil so that mistakes can be rubbed out
- BUsing personal abbreviations that only the nurse who wrote them understands
- CAccurately and as soon as possible after the event, with date, time and signature
- DAt the end of the week, written from memory in one go to save time
2.Easy
Which of these drugs is an antiplatelet agent?
- AAtorvastatin
- BFurosemide
- CClopidogrel
- DWarfarin
3.Easy
Stress urinary incontinence is leakage of urine:
- AOnly during sleep
- BOnly when feeling anxious or upset
- CCaused by a blocked catheter
- DWhen coughing, sneezing or lifting
4.Medium
A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?
- AUse a soft toothbrush and an electric razor
- BGive medicines by intramuscular injection
- CTake temperatures rectally
- DEncourage contact sports to keep fit
5.Medium
Long-term amiodarone treatment can affect which of the following?
- ABlood glucose and cholesterol only
- BThyroid function, the lungs and the skin's sensitivity to sunlight
- CThe sense of smell and taste only, with no other effects
- DHair colour and nail growth only, with no effect on organs
6.Medium
Which examination findings suggest a large pleural effusion on one side?
- ADull percussion and reduced breath sounds over the lung base
- BWheeze heard over both lungs
- CA hyper-resonant chest with the trachea pulled towards that side
- DNormal breath sounds and normal percussion
7.Hard
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AIts active metabolites build up because the kidneys excrete them
- BThe kidneys normally activate morphine, so more of it becomes active
- CKidney disease makes the opioid receptors disappear
- DKidney failure makes the stomach absorb more morphine
8.Hard
A nurse is teaching a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will keep my INR blood test appointments."
- B"I will report black stools or unusual bruising."
- C"I can take aspirin if I get a headache."
- D"I will tell my dentist that I take warfarin."
Answer key
- 1. C · Accurately and as soon as possible after the event, with date, time and signature
- 2. C · Clopidogrel
- 3. D · When coughing, sneezing or lifting
- 4. A · Use a soft toothbrush and an electric razor
- 5. B · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 6. A · Dull percussion and reduced breath sounds over the lung base
- 7. A · Its active metabolites build up because the kidneys excrete them
- 8. C · "I can take aspirin if I get a headache."
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