1.Easy
Which pain scale is often used for adults who can communicate?
- AThe Apgar score
- BThe Glasgow Coma Scale
- CA 0–10 numerical rating scale
- DThe Braden pressure ulcer scale
2.Easy
Pinpoint pupils, slow breathing and drowsiness after surgery most likely suggest:
- ARaised intracranial pressure only
- BDehydration
- COpioid toxicity
- DHypoglycaemia
3.Easy
What should be done with a used needle after an injection?
- APut it straight into a sharps container without recapping
- BPlace it on the bed until the end of the round
- CRecap it carefully using both hands, then put it in the bin
- DPut it in the clinical waste bag
4.Medium
Which advice is correct for a patient taking levothyroxine?
- ATake it on an empty stomach, usually before breakfast
- BTake it with a large meal to avoid nausea and stomach upset
- CTake it only on days when feeling tired
- DStop taking it once the symptoms improve
5.Medium
A patient has a fentanyl patch for chronic pain. Which advice is correct?
- AKeep using the old patch with the new one
- BAvoid heat sources such as hot water bottles over the patch
- CApply the patch to broken skin for faster effect
- DCut the patch in half if the pain improves, to lower the dose
6.Medium
Which electrolyte disturbance is most dangerous for the heart rhythm?
- AHigh chloride
- BLow sodium
- CHigh or low potassium
- DLow phosphate
7.Hard
A patient with a spinal cord injury at T4 suddenly develops a pounding headache, very high blood pressure and sweating above the injury. What is the first action?
- ALie the patient flat and raise the legs to improve brain perfusion
- BGive a sedative and recheck the blood pressure in four hours
- CGive a large IV fluid bolus and recheck the blood pressure
- DSit the patient up and check for a full bladder or blocked catheter
8.Hard
A patient with a central venous catheter suddenly becomes breathless and hypotensive while the line is being disconnected with the patient sitting up. What complication is most likely?
- AAir embolism
- BHypoglycaemia
- CPneumonia
- DPhlebitis
Answer key
- 1. C · A 0–10 numerical rating scale
- 2. C · Opioid toxicity
- 3. A · Put it straight into a sharps container without recapping
- 4. A · Take it on an empty stomach, usually before breakfast
- 5. B · Avoid heat sources such as hot water bottles over the patch
- 6. C · High or low potassium
- 7. D · Sit the patient up and check for a full bladder or blocked catheter
- 8. A · Air embolism
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