1.Easy
Why is jewellery removed or taped before surgery?
- ATo reduce the risk of diathermy burns and pressure injury
- BBecause metal jewellery increases blood loss during the operation
- CBecause metal raises the risk of postoperative nausea
- DTo make the patient's weight easier to measure
2.Easy
What does a pulse oximeter measure?
- AThe amount of oxygen dissolved in the plasma
- BThe partial pressure of carbon dioxide in the blood
- CThe concentration of haemoglobin in the blood
- DThe percentage of haemoglobin saturated with oxygen
3.Easy
The MUST tool is used to screen adults for:
- ADepression
- BMalnutrition
- CPressure ulcer risk
- DRisk of falls
4.Medium
A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?
- APotassium, because both drugs can raise it
- BGlucose, because both drugs cause hyperglycaemia
- CCalcium, because both drugs lower it
- DSodium, because both drugs raise it sharply
5.Medium
A patient receiving warfarin has an INR far above the target range and bruising. Which drug may be prescribed to reverse the effect?
- AVitamin K
- BProtamine sulfate
- CNaloxone
- DAspirin
6.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- AStanding up and walking around
- BLying flat, with the legs raised
- CSitting upright with the legs dangling
- DLying face down
7.Hard
A patient with central chest pain has ST elevation on the 12-lead ECG. What is the main aim of urgent treatment?
- AStarting a cholesterol-lowering drug before any other treatment is given
- BStrict bed rest for several days before deciding on treatment
- CWaiting for the troponin result before taking any action
- DRestoring blood flow through the blocked coronary artery quickly
8.Hard
A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?
- AChecking whether VTE prophylaxis was given
- BMeasuring and comparing calf circumference
- CReporting the findings to the doctor
- DMassaging the calf
Answer key
- 1. A · To reduce the risk of diathermy burns and pressure injury
- 2. D · The percentage of haemoglobin saturated with oxygen
- 3. B · Malnutrition
- 4. A · Potassium, because both drugs can raise it
- 5. A · Vitamin K
- 6. B · Lying flat, with the legs raised
- 7. D · Restoring blood flow through the blocked coronary artery quickly
- 8. D · Massaging the calf
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