1.Easy
How should nursing records be written?
- AUsing personal abbreviations that only the nurse who wrote them understands
- BAt the end of the week, written from memory in one go to save time
- CAccurately and as soon as possible after the event, with date, time and signature
- DIn pencil so that mistakes can be rubbed out
2.Easy
The WHO Surgical Safety Checklist is mainly used to:
- AMeasure the surgeon's speed
- BRecord the cost of the operation and the equipment
- CReduce avoidable errors and harm during surgery
- DBook the next theatre list
3.Easy
What is the usual normal white cell count in adults?
- AAbout 0.1–0.5 × 109/L (100–500/mm3)
- BAbout 150–400 × 109/L (150,000–400,000/mm3)
- CAbout 50–80 × 109/L (50,000–80,000/mm3)
- DAbout 4–11 × 109/L (4,000–11,000/mm3)
4.Medium
Long-term amiodarone treatment can affect which of the following?
- AThe sense of smell and taste only, with no other effects
- BThyroid function, the lungs and the skin's sensitivity to sunlight
- CHair colour and nail growth only, with no effect on organs
- DBlood glucose and cholesterol only
5.Medium
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ASwallow the spray rather than leaving it under the tongue
- BUse it only after the pain has lasted over an hour, with the patient lying flat
- CTake it with a large glass of milk to protect the stomach lining
- DSit down before using it, as it can cause dizziness and low blood pressure
6.Medium
A nurse gives a patient analgesia for post-operative pain. What should be done next?
- AWait until the next shift before asking the patient about the pain
- BAssume the pain has gone if the patient is quiet and has their eyes closed
- CGive a second analgesic straight away just in case
- DReassess the pain and any side effects once the drug has had time to work
7.Hard
A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?
- AA minor throat infection
- BDehydration from sweating
- CHypothermia from the fire service water
- DAirway swelling from inhalation injury
8.Hard
A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?
- A"I will cut down on alcohol."
- B"I will try to lose some weight over the next months."
- C"A big meal just before bed is fine if I take my tablet."
- D"I will raise the head of my bed with blocks."
Answer key
- 1. C · Accurately and as soon as possible after the event, with date, time and signature
- 2. C · Reduce avoidable errors and harm during surgery
- 3. D · About 4–11 × 109/L (4,000–11,000/mm3)
- 4. B · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 5. D · Sit down before using it, as it can cause dizziness and low blood pressure
- 6. D · Reassess the pain and any side effects once the drug has had time to work
- 7. D · Airway swelling from inhalation injury
- 8. C · "A big meal just before bed is fine if I take my tablet."
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