1.Easy
What is a PEG tube?
- AA feeding tube placed through the abdominal wall into the stomach
- BA tube passed through the nose and down into the stomach
- CA tube placed in the chest to drain air
- DA tube placed through the skin into the bladder to drain urine
2.Easy
What are the two most common causes of peptic ulcers?
- ALow fibre intake and lack of exercise
- BHelicobacter pylori infection and NSAID use
- CViral infection of the stomach and dehydration
- DSpicy food and emotional stress on their own
3.Easy
Which drug reverses respiratory depression caused by opioids?
- AVitamin K
- BAtropine
- CNaloxone
- DFlumazenil
4.Medium
A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?
- AWeekly weight
- BBreathing function, such as forced vital capacity
- CBlood glucose, measured once a day before breakfast
- DVisual acuity
5.Medium
A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?
- AUse a soft toothbrush and an electric razor
- BTake temperatures rectally
- CGive medicines by intramuscular injection
- DEncourage contact sports to keep fit
6.Medium
What is the most common cause of hypernatraemia in frail older inpatients?
- ANot drinking enough water
- BEating too much salt in one meal
- CToo much exercise
- DTaking too many vitamins
7.Hard
A healthcare assistant reports four observations. Which one needs the nurse's immediate action?
- A"Ms Ali has walked to the bathroom on her own."
- B"Mrs Jones would like a cup of tea and her glasses cleaned."
- C"Mr Chen's blood pressure is 128/80 as usual."
- D"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
8.Hard
A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?
- ADroplet precautions until 24 hours of effective antibiotics have been given
- BNo precautions, because it is not contagious
- CIsolation only after the patient has gone home
- DAirborne precautions with a negative-pressure room for the whole hospital stay
Answer key
- 1. A · A feeding tube placed through the abdominal wall into the stomach
- 2. B · Helicobacter pylori infection and NSAID use
- 3. C · Naloxone
- 4. B · Breathing function, such as forced vital capacity
- 5. A · Use a soft toothbrush and an electric razor
- 6. A · Not drinking enough water
- 7. D · "Mr Patel's breathing rate is 8 a minute and he's hard to wake."
- 8. A · Droplet precautions until 24 hours of effective antibiotics have been given
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