1.Easy
Hepatitis A is mainly spread by:
- AMosquito bites
- BThe faecal–oral route
- CSexual contact only
- DBlood transfusion
2.Easy
In the stroke awareness acronym FAST, what do the letters stand for?
- AFall, Airway, Shock, Temperature
- BFace, Arms, Speech, Time
- CFeeling, Awareness, Sight, Touch
- DFever, Ache, Sweating, Tremor
3.Easy
Which drug reverses respiratory depression caused by opioids?
- AAtropine
- BNaloxone
- CFlumazenil
- DVitamin K
4.Medium
What should a patient starting oral iron tablets be told?
- AThe tablets will cause weight loss
- BTheir stools may turn dark or black
- CTheir urine will turn bright green
- DThey must take the tablets with strong tea
5.Medium
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AUse the fistula arm for routine IV cannulas
- BApply a tight bandage over the fistula at night to protect it
- CAvoid blood pressure readings and blood samples on that arm
- DKeep the arm raised and still at all times
6.Medium
For a patient in skin traction on the leg, which is correct?
- AThe rope is tied to the bed frame to keep it still
- BThe weights are removed whenever the patient feels uncomfortable
- CThe weights hang freely and do not rest on the bed or floor
- DThe weights rest on the floor overnight
7.Hard
A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?
- AAn allergic reaction to food
- BRight-sided heart failure from valve disease
- CSuperior vena cava obstruction
- DHypothyroidism
8.Hard
Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?
- AAdrenal insufficiency
- BTumour lysis syndrome
- CRefeeding syndrome
- DSyndrome of inappropriate ADH secretion
Answer key
- 1. B · The faecal–oral route
- 2. B · Face, Arms, Speech, Time
- 3. B · Naloxone
- 4. B · Their stools may turn dark or black
- 5. C · Avoid blood pressure readings and blood samples on that arm
- 6. C · The weights hang freely and do not rest on the bed or floor
- 7. C · Superior vena cava obstruction
- 8. B · Tumour lysis syndrome
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