1.Easy
The term "proteinuria" means:
- AToo much protein in the diet
- BProtein in the urine
- CLow protein in the blood
- DPainful passing of urine
2.Easy
When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:
- A1 litre of retained fluid
- B5 litres of retained fluid
- C100 mL of retained fluid
- D10 mL of retained fluid
3.Easy
What is a transient ischaemic attack (TIA)?
- AA type of migraine with no risk of stroke
- BShort-lived stroke-like symptoms that resolve completely
- CA permanent stroke caused by bleeding into the brain
- DA heart attack affecting the brain
4.Medium
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- ANon-steroidal anti-inflammatory drugs such as ibuprofen
- BLocal anaesthetic creams
- CHot packs applied to a painful joint
- DParacetamol (acetaminophen), given in a carefully reduced and monitored dose
5.Medium
A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?
- ACategory 1
- BCategory 4
- CCategory 2
- DCategory 3
6.Medium
Why is serum lactate measured in a patient with suspected sepsis?
- AIt confirms which antibiotic to give
- BA raised lactate indicates poor tissue perfusion and higher risk
- CIt measures the patient's blood glucose
- DIt shows whether the patient has a urinary tract infection
7.Hard
A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?
- AChecking whether VTE prophylaxis was given
- BMeasuring and comparing calf circumference
- CMassaging the calf
- DReporting the findings to the doctor
8.Hard
A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?
- AAPTT for heparin and INR for warfarin
- BINR for heparin and APTT for warfarin
- CPlatelet count for both drugs
- DD-dimer for both drugs
Answer key
- 1. B · Protein in the urine
- 2. A · 1 litre of retained fluid
- 3. B · Short-lived stroke-like symptoms that resolve completely
- 4. A · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 5. B · Category 4
- 6. B · A raised lactate indicates poor tissue perfusion and higher risk
- 7. C · Massaging the calf
- 8. A · APTT for heparin and INR for warfarin
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