1.Easy
What is the most reliable indicator of pain in a patient who can communicate?
- AThe patient's own report
- BThe nurse's impression of their face
- CThe patient's heart rate
- DThe patient's blood pressure
2.Easy
Hepatitis A is mainly spread by:
- ABlood transfusion
- BSexual contact only
- CMosquito bites
- DThe faecal–oral route
3.Easy
The MUST tool is used to screen adults for:
- AMalnutrition
- BRisk of falls
- CDepression
- DPressure ulcer risk
4.Medium
Which advice should be given to a patient with a new permanent pacemaker?
- AAvoid using all household electrical appliances such as kettles
- BStop all heart medicines straight away
- CNever raise the arm on that side again
- DTell staff about the pacemaker before any MRI scan or procedure
5.Medium
A patient's abdomen is rigid and board-like, and they lie very still because movement worsens the pain. What does this suggest?
- AIndigestion
- BPeritonitis
- CUrinary tract infection
- DConstipation
6.Medium
Why are patients asked to fast before a general anaesthetic?
- ATo reduce the risk of aspirating stomach contents
- BTo make the surgery shorter
- CTo prevent postoperative constipation and abdominal bloating
- DTo lower the blood glucose before surgery
7.Hard
An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?
- AEmollient creams applied to the legs
- BVitamin D supplements
- CBenzodiazepine sleeping tablets
- DLubricating eye drops
8.Hard
An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO2 is now 100% and stable. What should be done?
- AStop the oxygen and the saturation monitoring because the patient is now well
- BKeep the oxygen at 15 L/min for at least a week to be on the safe side
- CIncrease the oxygen further to build up a reserve
- DReduce the oxygen to keep the SpO2 within the prescribed target range
Answer key
- 1. A · The patient's own report
- 2. D · The faecal–oral route
- 3. A · Malnutrition
- 4. D · Tell staff about the pacemaker before any MRI scan or procedure
- 5. B · Peritonitis
- 6. A · To reduce the risk of aspirating stomach contents
- 7. C · Benzodiazepine sleeping tablets
- 8. D · Reduce the oxygen to keep the SpO2 within the prescribed target range
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