1.Easy
What does "dysphagia" mean?
- APain when passing urine
- BDifficulty breathing
- CDifficulty speaking
- DDifficulty swallowing
2.Easy
Which urine dipstick findings most suggest a urinary tract infection?
- AA low specific gravity alone
- BGlucose and ketones
- CBilirubin and urobilinogen
- DNitrites and leucocytes
3.Easy
What should be done with a used needle after an injection?
- APlace it on the bed until the end of the round
- BRecap it carefully using both hands, then put it in the bin
- CPut it straight into a sharps container without recapping
- DPut it in the clinical waste bag
4.Medium
A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?
- ACategory 2
- BCategory 1
- CCategory 4
- DCategory 3
5.Medium
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A5 × 109/L
- B0.5 × 109/L
- C15 × 109/L
- D150 × 109/L
6.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ALying face down
- BSitting upright with the legs dangling
- CStanding up and walking around
- DLying flat, with the legs raised
7.Hard
A patient is recognised by the team as being in the last days of life. Which approach is correct?
- AStop all medicines, including pain relief and anti-sickness drugs
- BContinue all routine blood tests and observations four-hourly
- CReview and stop treatments that no longer help, and focus on comfort
- DAvoid talking with the family about what is happening
8.Hard
A nurse notices that a wrong dose of a drug was prepared but was caught before it was given. What should be done?
- AReport it as a near miss through the incident reporting system
- BDiscipline the nurse who prepared it on the spot in front of colleagues
- CSay nothing, because no harm reached the patient
- DTell only the patient's family
Answer key
- 1. D · Difficulty swallowing
- 2. D · Nitrites and leucocytes
- 3. C · Put it straight into a sharps container without recapping
- 4. C · Category 4
- 5. B · 0.5 × 109/L
- 6. D · Lying flat, with the legs raised
- 7. C · Review and stop treatments that no longer help, and focus on comfort
- 8. A · Report it as a near miss through the incident reporting system
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