1.Easy
The term "hemiplegia" means:
- AParalysis of both legs
- BParalysis of all four limbs
- CWeakness of the facial muscles only
- DParalysis of one side of the body
2.Easy
Graduated compression stockings and early mobilisation are used after surgery mainly to prevent:
- AVenous thromboembolism
- BPressure ulcers of the heel only
- CWound infection
- DUrinary retention
3.Easy
The term "hypovolaemia" means:
- AA high level of potassium in the circulating blood
- BA low volume of blood or fluid in the circulation
- CToo much fluid in the circulation
- DA low level of oxygen in the blood
4.Medium
For a patient in skin traction on the leg, which is correct?
- AThe weights rest on the floor overnight
- BThe rope is tied to the bed frame to keep it still
- CThe weights are removed whenever the patient feels uncomfortable
- DThe weights hang freely and do not rest on the bed or floor
5.Medium
Why can a very low serum albumin contribute to oedema?
- AIt lowers the oncotic pressure that holds fluid in the blood vessels
- BIt increases the number of red cells
- CIt makes the kidneys retain potassium
- DIt raises the blood pressure in the capillaries and pushes fluid out
6.Medium
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with an antacid to protect the stomach
- BTake it with a glass of milk at bedtime and then lie down straight away
- CTake it with plain water on an empty stomach and stay upright for 30 minutes
- DChew the tablet with breakfast and a cup of milky tea
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
- BKidney failure makes the stomach absorb more morphine
- CKidney disease makes the opioid receptors disappear
- DThe kidneys normally activate morphine, so more of it becomes active
8.Hard
Which nursing measure helps reduce raised intracranial pressure?
- AFrequent suctioning and encouraging strong coughing
- BRaising the head of the bed to about 30° with the head kept midline
- CLying the patient flat with the neck flexed forward on two pillows
- DTilting the patient head-down
Answer key
- 1. D · Paralysis of one side of the body
- 2. A · Venous thromboembolism
- 3. B · A low volume of blood or fluid in the circulation
- 4. D · The weights hang freely and do not rest on the bed or floor
- 5. A · It lowers the oncotic pressure that holds fluid in the blood vessels
- 6. C · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 7. A · Its active metabolites build up because the kidneys excrete them
- 8. B · Raising the head of the bed to about 30° with the head kept midline
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