1.Easy
What is the priority for a patient who has just had a seizure and is now drowsy?
- APlace them in the recovery position and keep the airway clear
- BLeave them alone to sleep it off without any further observation
- CHold them down firmly so they cannot move
- DGive them food and water immediately
2.Easy
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- ATyphoid vaccine
- BRabies vaccine
- CInfluenza vaccine
- DYellow fever vaccine
3.Easy
How does omeprazole work?
- AIt kills bacteria in the bowel
- BIt neutralises acid already in the stomach
- CIt reduces the production of stomach acid
- DIt speeds up the emptying of the stomach
4.Medium
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- ABed rails stop staff from taking observations
- BBed rails always make patients more confused, but only during the day
- CPatients can be seriously injured climbing over or becoming trapped in rails
- DBed rails are illegal in all hospitals and must never be used at all
5.Medium
What is the best way to protect the heels of a bed-bound patient from pressure damage?
- ARest the heels on a rolled-up towel
- BApply a tight bandage to the heels
- CMassage the heels firmly several times a day to help circulation
- DOffload the heels so they do not touch the mattress
6.Medium
Which is a recognised risk factor for postoperative nausea and vomiting?
- ABeing a smoker
- BUse of opioids after surgery
- CBeing male
- DA short operation under local anaesthetic
7.Hard
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AGive sips of oral fluid to clear the throat and wake them
- BOpen the airway with a head tilt–chin lift or jaw thrust
- CLie the patient face down
- DWait for the patient to wake up fully
8.Hard
A patient's blood test shows potassium 6.8 mmol/L and the ECG shows peaked T waves. Which treatment protects the heart most quickly?
- AA low-potassium diet only
- BIV calcium gluconate
- CFurosemide tablets the next day
- DOral potassium supplements
Answer key
- 1. A · Place them in the recovery position and keep the airway clear
- 2. C · Influenza vaccine
- 3. C · It reduces the production of stomach acid
- 4. C · Patients can be seriously injured climbing over or becoming trapped in rails
- 5. D · Offload the heels so they do not touch the mattress
- 6. B · Use of opioids after surgery
- 7. B · Open the airway with a head tilt–chin lift or jaw thrust
- 8. B · IV calcium gluconate
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