1.Easy
Which of these is one of the "rights" of safe medication administration?
- ARight route
- BRight nurse on duty
- CRight brand of packaging
- DRight bed number
2.Easy
What is the normal pH range of arterial blood?
- A7.35–7.45
- B7.00–7.10
- C6.85–6.95
- D7.55–7.65
3.Easy
Moisture-associated skin damage is mainly caused by:
- APressure over a bony area for a long time
- BA deep tissue infection
- CAn allergy to the bed sheets
- DProlonged contact with urine, faeces or sweat
4.Medium
The WHO analgesic ladder recommends:
- AGiving analgesia only when pain becomes severe
- BUsing only non-drug methods for cancer pain
- CMoving from non-opioids to weak and then strong opioids as pain increases
- DStarting all patients on strong opioids
5.Medium
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
- ATo check for brain tumours only
- BTo measure the size of the ventricles
- CTo rule out bleeding in the brain
- DTo confirm the patient's age
6.Medium
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BGenital fungal infections
- CSevere weight gain and fluid retention
- DBradycardia
7.Hard
During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?
- AA normal response to surgery
- BMalignant hyperthermia
- CNeuroleptic malignant syndrome from antipsychotics
- DPostoperative infection
8.Hard
A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?
- AThe whole of one side of the face, including the forehead, is weak
- BThe forehead can still be wrinkled on the affected side
- CThe patient has pain behind the ear
- DThe patient has had a recent cold
Answer key
- 1. A · Right route
- 2. A · 7.35–7.45
- 3. D · Prolonged contact with urine, faeces or sweat
- 4. C · Moving from non-opioids to weak and then strong opioids as pain increases
- 5. C · To rule out bleeding in the brain
- 6. B · Genital fungal infections
- 7. B · Malignant hyperthermia
- 8. B · The forehead can still be wrinkled on the affected side
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