1.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AAnaemia and osteoporosis
- BAsthma, eczema and hay fever
- CHypothyroidism, gout and hair loss
- DStroke, heart attack and kidney disease
2.Easy
"Coffee-ground" vomit suggests:
- AFood poisoning with vomiting but without any bleeding
- BBleeding in the upper gastrointestinal tract
- CKidney failure
- DBowel obstruction low in the colon
3.Easy
Stress urinary incontinence is leakage of urine:
- AOnly when feeling anxious or upset
- BWhen coughing, sneezing or lifting
- CCaused by a blocked catheter
- DOnly during sleep
4.Medium
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
- AInfective endocarditis
- BPericarditis
- CMyocardial infarction
- DRheumatic fever
5.Medium
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AA rise in blood pressure and a new cough
- BFalling urine output, new ankle swelling and a rise in weight
- CIncreased urine output, less breathlessness and a falling weight
- DA rise in weight and more lung crackles
6.Medium
A patient with hyponatraemia should be especially monitored for:
- ABright red rash
- BIncreased hair growth
- CConfusion, headache and seizures
- DHearing loss
7.Hard
A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?
- ABody mass index
- BSerum cholesterol
- CCapillary blood glucose
- DUrine output for the last day
8.Hard
A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?
- A"I will phone the helpline if I have a fever or shivering."
- B"I will wash my hands well before eating and after using the toilet."
- C"If I get a temperature, I'll take paracetamol and wait until my next clinic."
- D"I will check my temperature if I feel unwell or shivery at home."
Answer key
- 1. D · Stroke, heart attack and kidney disease
- 2. B · Bleeding in the upper gastrointestinal tract
- 3. B · When coughing, sneezing or lifting
- 4. A · Infective endocarditis
- 5. C · Increased urine output, less breathlessness and a falling weight
- 6. C · Confusion, headache and seizures
- 7. C · Capillary blood glucose
- 8. C · "If I get a temperature, I'll take paracetamol and wait until my next clinic."
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