1.Easy
What does "orthopnoea" mean?
- ABreathlessness only during exercise
- BBreathlessness when lying flat
- CA pause in breathing during sleep
- DBreathing that is abnormally slow
2.Easy
What is the priority for a patient who has just had a seizure and is now drowsy?
- APlace them in the recovery position and keep the airway clear
- BHold them down firmly so they cannot move
- CLeave them alone to sleep it off without any further observation
- DGive them food and water immediately
3.Easy
What is the Bristol Stool Chart used for?
- AClassifying the form and consistency of stools
- BRecording the frequency of urination
- CScoring the risk of pressure ulcers
- DMeasuring how much food a patient eats each day
4.Medium
How should a nurse communicate with a patient who has impaired hearing?
- ATalk to the patient's relative instead of to the patient directly
- BSpeak very quickly to save time
- CFace the patient, speak clearly and reduce background noise
- DShout loudly from the end of the bed so they can hear
5.Medium
What happens in third-degree (complete) heart block?
- AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- BEvery impulse reaches the ventricles, but each one is slightly delayed
- CNo impulses from the atria reach the ventricles, so they beat independently
- DThe ventricles beat very fast and regularly
6.Medium
Which is a major risk factor for Clostridioides difficile infection?
- ARegular exercise
- BTaking regular paracetamol
- CRecent broad-spectrum antibiotic use
- DA diet high in fibre and fresh fruit
7.Hard
Why must severe chronic hyponatraemia be corrected slowly?
- AFast correction makes the kidneys stop producing urine
- BToo-rapid correction can cause osmotic demyelination in the brain
- CFast correction causes severe hypoglycaemia and seizures in most patients
- DSodium given quickly causes immediate cardiac arrest
8.Hard
A patient has had diarrhoea for three days and is on a medical ward. What is the most appropriate infection control action?
- AWait until the diarrhoea has lasted a week before taking any action
- BIsolate promptly, use contact precautions and send a stool sample
- CMove the patient to a shared bay so single rooms stay available
- DUse alcohol hand rub only and avoid gloves to save resources
Answer key
- 1. B · Breathlessness when lying flat
- 2. A · Place them in the recovery position and keep the airway clear
- 3. A · Classifying the form and consistency of stools
- 4. C · Face the patient, speak clearly and reduce background noise
- 5. C · No impulses from the atria reach the ventricles, so they beat independently
- 6. C · Recent broad-spectrum antibiotic use
- 7. B · Too-rapid correction can cause osmotic demyelination in the brain
- 8. B · Isolate promptly, use contact precautions and send a stool sample
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