1.Easy
After a stroke, a patient has "aphasia". What does this mean?
- ADifficulty swallowing food, drink and saliva
- BWeakness of one side of the body
- CDifficulty understanding or producing language
- DLoss of vision in one eye
2.Easy
Which tool is used to assess a patient's risk of developing pressure ulcers?
- AThe Braden or Waterlow scale
- BThe Apgar score
- CThe Mini-Mental State Examination
- DThe Glasgow Coma Scale
3.Easy
Which finding is typical of a urinary tract infection?
- ABurning on urination and frequency
- BRinging in the ears
- CSwelling of both ankles and lower legs
- DBlack stools
4.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ALying flat, with the legs raised
- BStanding up and walking around
- CLying face down
- DSitting upright with the legs dangling
5.Medium
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
- ATell them to double the dose
- BReassure them that this is a sign the drug is working
- CAdvise more vigorous exercise to work through it
- DReport it, as statins can cause muscle damage
6.Medium
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AStopping causes immediate kidney failure
- BStopping causes severe low blood pressure
- CStopping early greatly increases the risk of a clot forming in the stent
- DThe stent will dissolve if the drugs are stopped before the course ends
7.Hard
A patient with stress incontinence is taught self-care. Which statement shows a need for further teaching?
- A"I'll drink as little as possible so I don't leak."
- B"I'll do my pelvic floor exercises every day."
- C"I'll try to lose some weight if I can."
- D"I'll cut down on caffeine."
8.Hard
A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?
- A"I will try to lose some weight over the next months."
- B"A big meal just before bed is fine if I take my tablet."
- C"I will cut down on alcohol."
- D"I will raise the head of my bed with blocks."
Answer key
- 1. C · Difficulty understanding or producing language
- 2. A · The Braden or Waterlow scale
- 3. A · Burning on urination and frequency
- 4. A · Lying flat, with the legs raised
- 5. D · Report it, as statins can cause muscle damage
- 6. C · Stopping early greatly increases the risk of a clot forming in the stent
- 7. A · "I'll drink as little as possible so I don't leak."
- 8. B · "A big meal just before bed is fine if I take my tablet."
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