1.Easy
What should be done with a used needle after an injection?
- ARecap it carefully using both hands, then put it in the bin
- BPut it straight into a sharps container without recapping
- CPlace it on the bed until the end of the round
- DPut it in the clinical waste bag
2.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A3
- B5
- C1
- D0
3.Easy
What does the INR measure?
- AThe number of platelets circulating in the blood
- BThe level of white cells in the blood
- CThe amount of iron stored in the body's liver and bone marrow
- DHow long the blood takes to clot, compared with a standard
4.Medium
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
- AReport it, as statins can cause muscle damage
- BAdvise more vigorous exercise to work through it
- CTell them to double the dose
- DReassure them that this is a sign the drug is working
5.Medium
Which features suggest Cushing's syndrome?
- ADark skin, low blood pressure, salt craving and a low blood sodium level
- BWeight gain around the trunk, a rounded face and thin, easily bruised skin
- CCoarse facial features and very large hands and feet
- DWeight loss, heat intolerance, tremor and protruding eyes
6.Medium
Why can a very low serum albumin contribute to oedema?
- AIt lowers the oncotic pressure that holds fluid in the blood vessels
- BIt makes the kidneys retain potassium
- CIt raises the blood pressure in the capillaries and pushes fluid out
- DIt increases the number of red cells
7.Hard
A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?
- AIt thins the blood so that the lungs absorb more oxygen
- BIt dissolves the clot completely within minutes of the first dose being given
- CIt is mainly given to lower the blood pressure
- DIt stops the clot growing and prevents new clots while the body breaks it down
8.Hard
Three days after bowel surgery, a patient has a distended abdomen, vomiting and absent bowel sounds, without colicky pain. What is most likely?
- AA urinary tract infection
- BAcute cholecystitis
- CNormal recovery after surgery
- DParalytic ileus
Answer key
- 1. B · Put it straight into a sharps container without recapping
- 2. A · 3
- 3. D · How long the blood takes to clot, compared with a standard
- 4. A · Report it, as statins can cause muscle damage
- 5. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 6. A · It lowers the oncotic pressure that holds fluid in the blood vessels
- 7. D · It stops the clot growing and prevents new clots while the body breaks it down
- 8. D · Paralytic ileus
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