1.Easy
"Coffee-ground" vomit suggests:
- AKidney failure
- BBowel obstruction low in the colon
- CBleeding in the upper gastrointestinal tract
- DFood poisoning with vomiting but without any bleeding
2.Easy
Osteoporosis mainly increases the risk of:
- AJoint infections
- BFractures from minor falls
- CHigh blood calcium
- DMuscle cramps at night
3.Easy
What is the main purpose of an early warning score such as NEWS2?
- ATo decide the patient's diet
- BTo calculate a patient's medicine doses from their observations
- CTo help detect clinical deterioration early and trigger a response
- DTo measure how satisfied the patient is
4.Medium
Which advice should be given to a patient with a new permanent pacemaker?
- AAvoid using all household electrical appliances such as kettles
- BStop all heart medicines straight away
- CNever raise the arm on that side again
- DTell staff about the pacemaker before any MRI scan or procedure
5.Medium
Which observation is most important after giving a patient a first dose of a new antibiotic intravenously?
- ASigns of an allergic reaction such as rash, wheeze or swelling
- BHow much they walk that day
- CWhether their hair loss increases
- DTheir appetite at the next meal
6.Medium
A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?
- AConstipation
- BA urinary tract infection
- CPeritonitis
- DNormal dialysis fluid
7.Hard
Why must blood samples for a cross-match be labelled at the bedside immediately after they are taken?
- ATo speed up the laboratory's computer system and reduce the waiting time
- BTo prevent "wrong blood in tube" errors that can cause fatal reactions
- CTo let the patient sign the label
- DTo keep the sample warm so the cells do not break down in transit
8.Hard
A patient with stress incontinence is taught self-care. Which statement shows a need for further teaching?
- A"I'll cut down on caffeine."
- B"I'll do my pelvic floor exercises every day."
- C"I'll try to lose some weight if I can."
- D"I'll drink as little as possible so I don't leak."
Answer key
- 1. C · Bleeding in the upper gastrointestinal tract
- 2. B · Fractures from minor falls
- 3. C · To help detect clinical deterioration early and trigger a response
- 4. D · Tell staff about the pacemaker before any MRI scan or procedure
- 5. A · Signs of an allergic reaction such as rash, wheeze or swelling
- 6. C · Peritonitis
- 7. B · To prevent "wrong blood in tube" errors that can cause fatal reactions
- 8. D · "I'll drink as little as possible so I don't leak."
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