1.Easy
What is the normal pH range of arterial blood?
- A7.55–7.65
- B7.00–7.10
- C6.85–6.95
- D7.35–7.45
2.Easy
What is a common early sign of a stroke?
- AGradual memory loss developing over several years
- BFever with a productive cough
- CItchy skin on both arms
- DSudden facial droop or arm weakness on one side
3.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A0
- B5
- C1
- D3
4.Medium
Which is the correct technique for using a metered-dose inhaler without a spacer?
- ABreathe out, then breathe in slowly and deeply while pressing the canister, then hold
- BBreathe in quickly through the nose while pressing the canister
- CPress the canister and wait one minute before breathing in
- DPress the canister twice quickly, then breathe in fast and breathe straight out again
5.Medium
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
- AAdvise more vigorous exercise to work through it
- BReport it, as statins can cause muscle damage
- CTell them to double the dose
- DReassure them that this is a sign the drug is working
6.Medium
Why does a patient with a suspected TIA need urgent specialist assessment?
- AThe risk of a full stroke is highest in the days after a TIA
- BA TIA always turns into a brain tumour unless it is treated
- CThe symptoms will come back permanently within an hour
- DThe patient needs urgent surgery on the brain
7.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient with new-onset confusion and a respiratory rate of 28/min
- BA patient with chronic back pain scored 4/10
- CA patient asking for a laxative
- DA patient awaiting discharge with stable observations
8.Hard
An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?
- ASedate the patient so the transfusion can be given
- BAsk a family member to consent instead
- CGive the transfusion while the patient is asleep, as it is in their best interests
- DRespect the refusal, check it is informed and document it, and inform the team
Answer key
- 1. D · 7.35–7.45
- 2. D · Sudden facial droop or arm weakness on one side
- 3. D · 3
- 4. A · Breathe out, then breathe in slowly and deeply while pressing the canister, then hold
- 5. B · Report it, as statins can cause muscle damage
- 6. A · The risk of a full stroke is highest in the days after a TIA
- 7. A · A patient with new-onset confusion and a respiratory rate of 28/min
- 8. D · Respect the refusal, check it is informed and document it, and inform the team
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