1.Easy
What does SBAR stand for in clinical handover?
- ASummary, Bedside, Action, Review
- BSituation, Background, Assessment, Recommendation
- CSafety, Breathing, Alertness, Risk
- DSymptoms, Blood pressure, Airway, Respiratory rate
2.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AAnaemia and osteoporosis
- BHypothyroidism, gout and hair loss
- CAsthma, eczema and hay fever
- DStroke, heart attack and kidney disease
3.Easy
Which red blood cell group is often called the "universal donor" in an emergency?
- AB negative
- BO negative
- CA positive
- DAB positive
4.Medium
A new colostomy stoma appears dark purple to black on the second postoperative day. What does this indicate?
- AA normal healthy stoma
- BNormal postoperative bruising of the stoma that needs no action
- CConstipation
- DPossible ischaemia of the stoma, which needs urgent review
5.Medium
A patient with MRSA colonisation is admitted. Which precautions are appropriate?
- AContact precautions with gloves, apron and good hand hygiene
- BAirborne precautions with an FFP3 respirator mask for all staff
- CIsolation in a negative-pressure room for six months
- DNo precautions are needed for colonisation
6.Medium
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AKidney damage and hearing loss
- BHair loss and weight gain
- CHyperglycaemia and tremor
- DConstipation and urinary retention
7.Hard
Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?
- AMeasuring and recording vital signs on a stable patient
- BTeaching a patient to inject insulin for the first time
- CGiving a dose of intravenous antibiotic
- DAssessing a patient who has just reported new chest pain
8.Hard
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AOpen the airway with a head tilt–chin lift or jaw thrust
- BLie the patient face down
- CGive sips of oral fluid to clear the throat and wake them
- DWait for the patient to wake up fully
Answer key
- 1. B · Situation, Background, Assessment, Recommendation
- 2. D · Stroke, heart attack and kidney disease
- 3. B · O negative
- 4. D · Possible ischaemia of the stoma, which needs urgent review
- 5. A · Contact precautions with gloves, apron and good hand hygiene
- 6. A · Kidney damage and hearing loss
- 7. A · Measuring and recording vital signs on a stable patient
- 8. A · Open the airway with a head tilt–chin lift or jaw thrust
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