1.Easy
Which symptom is typical of hypoglycaemia?
- ADeep, fast breathing with a fruity breath smell
- BSweating, shaking and confusion
- CExcessive thirst and passing a lot of urine
- DWarm, dry skin and slow pulse
2.Easy
How should nursing records be written?
- AAt the end of the week, written from memory in one go to save time
- BAccurately and as soon as possible after the event, with date, time and signature
- CIn pencil so that mistakes can be rubbed out
- DUsing personal abbreviations that only the nurse who wrote them understands
3.Easy
Pinpoint pupils, slow breathing and drowsiness after surgery most likely suggest:
- AOpioid toxicity
- BHypoglycaemia
- CDehydration
- DRaised intracranial pressure only
4.Medium
Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?
- AA fit-tested respirator mask (such as FFP3 or N95)
- BA standard fluid-repellent surgical mask with a visor
- CNo mask, as long as gloves are worn
- DA cloth face covering
5.Medium
Which drug is used to reverse unfractionated heparin?
- AFlumazenil
- BVitamin K (phytomenadione)
- CNaloxone
- DProtamine sulfate
6.Medium
A patient's NEWS2 score has risen to 7. What is the appropriate response?
- AEmergency assessment by a clinical team with critical care skills
- BContinue observations every 12 hours
- CGive a sedative and recheck later
- DRecord the score, increase observations and wait for the morning ward round
7.Hard
A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?
- ATension headache
- BSinusitis
- CSubarachnoid haemorrhage
- DMigraine with aura in a known migraine sufferer
8.Hard
A patient with a burn of 30% body surface area is admitted. Which early complication is of greatest concern in the first 24 hours?
- APressure ulcers from prolonged immobility
- BHypovolaemic shock from fluid loss
- CConstipation
- DScarring and contractures
Answer key
- 1. B · Sweating, shaking and confusion
- 2. B · Accurately and as soon as possible after the event, with date, time and signature
- 3. A · Opioid toxicity
- 4. A · A fit-tested respirator mask (such as FFP3 or N95)
- 5. D · Protamine sulfate
- 6. A · Emergency assessment by a clinical team with critical care skills
- 7. C · Subarachnoid haemorrhage
- 8. B · Hypovolaemic shock from fluid loss
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