1.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AAnaemia and osteoporosis
- BHypothyroidism, gout and hair loss
- CStroke, heart attack and kidney disease
- DAsthma, eczema and hay fever
2.Easy
Which pair of symptoms is typical of hyperglycaemia?
- AIncreased thirst and passing large amounts of urine
- BSlow pulse and cold, pale skin
- CPinpoint pupils and slow breathing
- DSweating, trembling hands and a sudden feeling of hunger
3.Easy
What does a peak flow meter measure?
- AThe number of breaths per minute
- BThe fastest rate at which a person can blow air out
- CThe total amount of air the lungs can hold
- DThe oxygen level in the blood during a deep breath
4.Medium
What is the first-line drug treatment for anaphylaxis?
- AIntravenous paracetamol
- BOral antihistamine such as cetirizine
- CInhaled steroid
- DIntramuscular adrenaline
5.Medium
Which assessment best detects compartment syndrome after a fractured leg is put in a cast?
- AA strong pulse in the foot
- BPain out of proportion to the injury, especially on passive stretch
- CA warm, pink foot
- DMild itching under the cast
6.Medium
During a red cell transfusion, when are serious acute reactions most likely to start?
- AOnly after the unit has finished
- BAbout 24 hours later
- CAfter the third unit only
- DIn the first 15 minutes
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 wear well-fitting shoes."
- C"I will see the podiatrist about hard skin."
- D"I will check my feet every day for cuts or blisters."
8.Hard
A patient with an acute GI bleed has a heart rate of 120/min and blood pressure 90/60 mmHg. What is the nursing priority after calling for help?
- ASecure large-bore IV access and prepare for fluid or blood replacement
- BEncourage walking to the bathroom alone
- CDelay action until the stool colour is checked
- DGive a large meal to restore energy
Answer key
- 1. C · Stroke, heart attack and kidney disease
- 2. A · Increased thirst and passing large amounts of urine
- 3. B · The fastest rate at which a person can blow air out
- 4. D · Intramuscular adrenaline
- 5. B · Pain out of proportion to the injury, especially on passive stretch
- 6. D · In the first 15 minutes
- 7. A · "I will walk barefoot at home to toughen my feet."
- 8. A · Secure large-bore IV access and prepare for fluid or blood replacement
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