1.Easy
Which urine dipstick findings most suggest a urinary tract infection?
- ABilirubin and urobilinogen
- BGlucose and ketones
- CNitrites and leucocytes
- DA low specific gravity alone
2.Easy
Which description is typical of neuropathic pain?
- AA pain that only occurs after meals
- BA dull ache that is only present during exercise
- CA sharp pain only when the skin is cut
- DBurning, shooting or tingling pain
3.Easy
What is the immediate first aid after a needlestick injury?
- AWash the wound with soap and running water without scrubbing
- BSuck the wound to remove the blood, then cover it with a plaster
- CScrub the wound hard with a brush
- DIgnore it if the needle looked clean
4.Medium
Why is it important to prevent hypothermia during and after surgery?
- AIt makes the patient wake up too quickly and become agitated in recovery
- BIt increases the risk of wound infection, bleeding and cardiac complications
- CIt makes the patient's pain disappear
- DIt causes high blood glucose only
5.Medium
A patient with type 1 diabetes is vomiting and eating little. What is correct sick-day advice?
- ADo not stop insulin; check glucose and ketones more often
- BHalve fluid intake to prevent vomiting
- CCheck glucose once a day only
- DStop insulin until eating normally again to avoid hypoglycaemia
6.Medium
Which technique is correct when suctioning through a tracheostomy?
- ASuction every 15 minutes whether or not secretions are present
- BApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
- CApply suction continuously while inserting the catheter as far as it will go
- DKeep suctioning for at least a minute each time to clear all the secretions
7.Hard
An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?
- AMusculoskeletal back pain
- BRenal colic from a kidney stone
- CA ruptured abdominal aortic aneurysm
- DAcute gastritis from anti-inflammatory drugs
8.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient with new-onset confusion and a respiratory rate of 28/min
- BA patient asking for a laxative
- CA patient with chronic back pain scored 4/10
- DA patient awaiting discharge with stable observations
Answer key
- 1. C · Nitrites and leucocytes
- 2. D · Burning, shooting or tingling pain
- 3. A · Wash the wound with soap and running water without scrubbing
- 4. B · It increases the risk of wound infection, bleeding and cardiac complications
- 5. A · Do not stop insulin; check glucose and ketones more often
- 6. B · Apply suction only while withdrawing the catheter, for no more than about 10–15 seconds
- 7. C · A ruptured abdominal aortic aneurysm
- 8. A · A patient with new-onset confusion and a respiratory rate of 28/min
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