1.Easy
Why should a patient who has had a stroke have a swallow screen before oral food, fluid or medicine?
- ATo measure their blood pressure
- BTo prevent pressure ulcers
- CTo check their blood glucose level
- DTo reduce the risk of aspiration
2.Easy
A patient with suspected pulmonary tuberculosis should be cared for using:
- AAirborne precautions in a single room
- BContact precautions only
- CStandard precautions only on an open ward
- DNo special precautions
3.Easy
A wheeze heard on chest auscultation is caused by:
- AFluid in the alveoli
- BThe pleural layers rubbing together
- CAir flowing through narrowed airways
- DFluid collecting in the pleural space
4.Medium
Why are older adults at higher risk of dehydration?
- AThey always drink large amounts of tea
- BTheir sense of thirst is often reduced
- CTheir body water content increases with age
- DTheir kidneys hold on to too much water
5.Medium
A nurse gives a patient analgesia for post-operative pain. What should be done next?
- AGive a second analgesic straight away just in case
- BAssume the pain has gone if the patient is quiet and has their eyes closed
- CWait until the next shift before asking the patient about the pain
- DReassess the pain and any side effects once the drug has had time to work
6.Medium
Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?
- ADelays can quickly worsen rigidity, immobility and swallowing
- BLate doses cause dangerous high potassium
- CEarly doses cause severe low blood glucose and sweating attacks
- DThe drug only works if taken at midnight
7.Hard
A nurse teaches a patient with diabetes about foot care. Which statement shows a need for further teaching?
- A"I will walk barefoot at home to toughen my feet."
- B"I will see the podiatrist about hard skin."
- C"I will check my feet every day for cuts or blisters."
- D"I will wear well-fitting shoes."
8.Hard
A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?
- AHypothermia from the fire service water
- BA minor throat infection
- CAirway swelling from inhalation injury
- DDehydration from sweating
Answer key
- 1. D · To reduce the risk of aspiration
- 2. A · Airborne precautions in a single room
- 3. C · Air flowing through narrowed airways
- 4. B · Their sense of thirst is often reduced
- 5. D · Reassess the pain and any side effects once the drug has had time to work
- 6. A · Delays can quickly worsen rigidity, immobility and swallowing
- 7. A · "I will walk barefoot at home to toughen my feet."
- 8. C · Airway swelling from inhalation injury
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