1.Easy
What is the main purpose of a surgical wound drain?
- ATo give antibiotics directly into the wound bed
- BTo keep the wound open permanently so that it can be cleaned
- CTo remove blood or fluid so it does not collect in the wound
- DTo measure the patient's temperature
2.Easy
The term "hemiplegia" means:
- AParalysis of both legs
- BWeakness of the facial muscles only
- CParalysis of all four limbs
- DParalysis of one side of the body
3.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AStand clear and not touch the patient
- BHold the patient's hand
- CGive rescue breaths
- DKeep doing chest compressions without pausing
4.Medium
Which measure helps prevent delirium in older inpatients?
- AKeeping the lights on all night
- BRestricting fluids to avoid incontinence
- CMoving the patient to a different bed each night to give them a change of scene
- DReorientation, glasses and hearing aids in use, and good sleep and hydration
5.Medium
A patient after a road accident has severe breathlessness, absent breath sounds on one side, low blood pressure and the trachea shifted to the other side. What is the likely diagnosis?
- ATension pneumothorax
- BPneumonia
- CPulmonary oedema
- DAsthma
6.Medium
Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?
- ATo give antibiotics directly into the kidneys
- BTo measure the patient's kidney function
- CTo stretch the bladder back to its normal size
- DTo stop blood clots from blocking the catheter
7.Hard
An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?
- AAcute kidney injury from rhabdomyolysis
- BA urinary tract infection from lying in urine
- CHypoglycaemia
- DA stroke
8.Hard
A nurse is teaching a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will report black stools or unusual bruising."
- B"I can take aspirin if I get a headache."
- C"I will keep my INR blood test appointments."
- D"I will tell my dentist that I take warfarin."
Answer key
- 1. C · To remove blood or fluid so it does not collect in the wound
- 2. D · Paralysis of one side of the body
- 3. A · Stand clear and not touch the patient
- 4. D · Reorientation, glasses and hearing aids in use, and good sleep and hydration
- 5. A · Tension pneumothorax
- 6. D · To stop blood clots from blocking the catheter
- 7. A · Acute kidney injury from rhabdomyolysis
- 8. B · "I can take aspirin if I get a headache."
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