1.Easy
The term "pallor" means:
- AA red, raised rash
- BYellowing of the skin and eyes
- CBluish fingertips
- DAbnormal paleness of the skin
2.Easy
Which sign suggests phlebitis at an intravenous cannula site?
- AThe skin is pale and cold far from the site
- BThe patient is thirsty
- CRedness, pain and swelling along the vein
- DNormal skin with no pain
3.Easy
Why is a platelet transfusion given?
- ATo prevent or treat bleeding in a patient with low or poorly working platelets
- BTo provide extra protein
- CTo treat a high white cell count in a patient with infection or leukaemia
- DTo raise the haemoglobin level in a patient with anaemia
4.Medium
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AOnly with the patient lying flat
- BDriven by high-flow oxygen at 15 L/min for as long as possible
- CWithout monitoring oxygen saturation
- DDriven by compressed air, with oxygen given separately if needed
5.Medium
Which measure helps reduce the risk of surgical site infection?
- ALeaving the patient cool during surgery to slow bacterial growth
- BShaving the area with a razor the night before surgery
- CChanging the wound dressing every hour
- DRemoving hair, if needed, with clippers rather than a razor
6.Medium
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ASwallow the spray rather than leaving it under the tongue
- BUse it only after the pain has lasted over an hour, with the patient lying flat
- CTake it with a large glass of milk to protect the stomach lining
- DSit down before using it, as it can cause dizziness and low blood pressure
7.Hard
A patient with acute pancreatitis is in severe epigastric pain radiating to the back. Which nursing care is most important?
- ARestricting all fluids
- BAdequate pain relief, IV fluids and close fluid balance monitoring
- CStrict bed rest without observations
- DA large fatty meal to stimulate the pancreas
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?
- ADehydration from sweating
- BAirway swelling from inhalation injury
- CHypothermia from the fire service water
- DA minor throat infection
Answer key
- 1. D · Abnormal paleness of the skin
- 2. C · Redness, pain and swelling along the vein
- 3. A · To prevent or treat bleeding in a patient with low or poorly working platelets
- 4. D · Driven by compressed air, with oxygen given separately if needed
- 5. D · Removing hair, if needed, with clippers rather than a razor
- 6. D · Sit down before using it, as it can cause dizziness and low blood pressure
- 7. B · Adequate pain relief, IV fluids and close fluid balance monitoring
- 8. B · Airway swelling from inhalation injury
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