1.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AStroke, heart attack and kidney disease
- BAnaemia and osteoporosis
- CHypothyroidism, gout and hair loss
- DAsthma, eczema and hay fever
2.Easy
Hepatitis A is mainly spread by:
- ASexual contact only
- BThe faecal–oral route
- CMosquito bites
- DBlood transfusion
3.Easy
Why is a lower oxygen saturation target (88–92%) often used for patients with severe COPD?
- AOxygen worsens their chest pain
- BTheir lungs cannot absorb any oxygen at all
- CHigh-flow oxygen can cause carbon dioxide retention in some of these patients
- DOxygen is flammable only in COPD
4.Medium
How should a nurse communicate with a patient who has impaired hearing?
- AFace the patient, speak clearly and reduce background noise
- BShout loudly from the end of the bed so they can hear
- CSpeak very quickly to save time
- DTalk to the patient's relative instead of to the patient directly
5.Medium
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AChloride
- BMagnesium
- CSodium
- DPhosphate
6.Medium
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BBradycardia
- CGenital fungal infections
- DSevere weight gain and fluid retention
7.Hard
A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?
- ACapillary blood glucose
- BBody mass index
- CUrine output for the last day
- DSerum cholesterol
8.Hard
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- ATo prevent accidental intravenous administration
- BIV syringes cannot hold liquid medicines
- CEnteral syringes keep the medicine sterile
- DEnteral syringes measure doses less accurately
Answer key
- 1. A · Stroke, heart attack and kidney disease
- 2. B · The faecal–oral route
- 3. C · High-flow oxygen can cause carbon dioxide retention in some of these patients
- 4. A · Face the patient, speak clearly and reduce background noise
- 5. B · Magnesium
- 6. C · Genital fungal infections
- 7. A · Capillary blood glucose
- 8. A · To prevent accidental intravenous administration
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