1.Easy
What is the most reliable indicator of pain in a patient who can communicate?
- AThe patient's heart rate
- BThe patient's own report
- CThe patient's blood pressure
- DThe nurse's impression of their face
2.Easy
What is the first-line treatment for a conscious, cooperative adult with hypoglycaemia?
- AFast-acting carbohydrate by mouth, such as glucose tablets or juice
- BAn insulin injection
- CA large fatty meal
- DIntravenous 0.9% saline only, followed by a repeat glucose check in an hour
3.Easy
The term "polypharmacy" usually means:
- AA pharmacy that sells many different brands
- BA patient taking many medicines at the same time
- CA single medicine that contains many active ingredients
- DGiving one medicine by several routes
4.Medium
What should the nurse regularly check for a patient with a syringe driver?
- AThe infusion site, the rate and volume remaining, and the patient's symptoms
- BOnly that the battery is charged and the device is switched on
- COnly the patient's weight, measured once a week on the same scales
- DNothing, once the syringe driver is running
5.Medium
Which features suggest pyelonephritis rather than simple cystitis?
- AFever, rigors and loin pain
- BCloudy urine with no other symptoms
- CMild burning on passing urine only
- DFrequency without any pain
6.Medium
What does HbA1c measure?
- AAverage blood glucose over roughly the previous two to three months
- BBlood glucose at the moment of testing
- CThe amount of ketones in the urine
- DInsulin levels after a meal
7.Hard
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
- AA change in level of consciousness
- BA slow pulse with high blood pressure
- CIrregular breathing pauses
- DA fixed, dilated pupil on both sides
8.Hard
A patient after a total hip replacement suddenly has severe hip pain, a shortened leg and the leg is rotated. What is the most likely complication?
- ADislocation of the prosthesis
- BUrinary retention
- CDeep vein thrombosis in the calf
- DWound infection
Answer key
- 1. B · The patient's own report
- 2. A · Fast-acting carbohydrate by mouth, such as glucose tablets or juice
- 3. B · A patient taking many medicines at the same time
- 4. A · The infusion site, the rate and volume remaining, and the patient's symptoms
- 5. A · Fever, rigors and loin pain
- 6. A · Average blood glucose over roughly the previous two to three months
- 7. A · A change in level of consciousness
- 8. A · Dislocation of the prosthesis
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