1.Easy
A pneumothorax is:
- AA blood clot in the lung arteries
- BAn infection of the lung tissue, usually caused by bacteria
- CFluid in the alveoli, usually from heart failure
- DAir in the pleural space, causing the lung to collapse
2.Easy
Which pain scale is often used for adults who can communicate?
- AThe Glasgow Coma Scale
- BThe Braden pressure ulcer scale
- CA 0–10 numerical rating scale
- DThe Apgar score
3.Easy
What does "cyanosis" describe?
- AA red, flushed face from fever
- BA bluish colour of the skin or lips from poorly oxygenated blood
- CA yellow colour of the skin and eyes caused by raised bilirubin
- DPale skin caused by fear or pain
4.Medium
What should a nurse do during a generalised tonic-clonic seizure?
- AProtect the head, time the seizure and do not put anything in the mouth
- BGive the patient a drink of water
- CPut a tongue depressor between the teeth so that the tongue is not bitten
- DHold the limbs firmly to stop the jerking and prevent injury
5.Medium
How does CPAP help a patient with obstructive sleep apnoea?
- AIt keeps the upper airway open during sleep with continuous air pressure
- BIt delivers bronchodilator drugs deep into the lungs overnight
- CIt removes excess carbon dioxide from the lungs by gentle suction
- DIt strengthens the breathing muscles during the day
6.Medium
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- AA 24-hour urine collection
- BBlood cultures
- CA stool sample for occult blood
- DA fasting cholesterol level
7.Hard
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AEnteral syringes keep the medicine sterile
- BIV syringes cannot hold liquid medicines
- CEnteral syringes measure doses less accurately
- DTo prevent accidental intravenous administration
8.Hard
A patient with a central venous catheter needs the line removed. Which position reduces the risk of air embolism during removal of a neck or chest line?
- ALying on the right side with the legs raised
- BStanding up and walking
- CLying flat or slightly head-down, holding the breath or breathing out
- DSitting fully upright and taking a deep breath in as the line comes out
Answer key
- 1. D · Air in the pleural space, causing the lung to collapse
- 2. C · A 0–10 numerical rating scale
- 3. B · A bluish colour of the skin or lips from poorly oxygenated blood
- 4. A · Protect the head, time the seizure and do not put anything in the mouth
- 5. A · It keeps the upper airway open during sleep with continuous air pressure
- 6. B · Blood cultures
- 7. D · To prevent accidental intravenous administration
- 8. C · Lying flat or slightly head-down, holding the breath or breathing out
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