1.Easy
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
- AAbout 135–145 mmol/L
- BAbout 6.5–8.0 mmol/L
- CAbout 3.5–5.0 mmol/L
- DAbout 1.5–2.5 mmol/L
2.Easy
What is the usual normal white cell count in adults?
- AAbout 0.1–0.5 × 109/L (100–500/mm3)
- BAbout 4–11 × 109/L (4,000–11,000/mm3)
- CAbout 50–80 × 109/L (50,000–80,000/mm3)
- DAbout 150–400 × 109/L (150,000–400,000/mm3)
3.Easy
Why is a platelet transfusion given?
- ATo provide extra protein
- BTo raise the haemoglobin level in a patient with anaemia
- CTo treat a high white cell count in a patient with infection or leukaemia
- DTo prevent or treat bleeding in a patient with low or poorly working platelets
4.Medium
What does HbA1c measure?
- ABlood glucose at the moment of testing
- BInsulin levels after a meal
- CAverage blood glucose over roughly the previous two to three months
- DThe amount of ketones in the urine
5.Medium
How should a nurse communicate with a patient who has impaired hearing?
- AShout loudly from the end of the bed so they can hear
- BTalk to the patient's relative instead of to the patient directly
- CFace the patient, speak clearly and reduce background noise
- DSpeak very quickly to save time
6.Medium
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- ABed rails stop staff from taking observations
- BBed rails are illegal in all hospitals and must never be used at all
- CBed rails always make patients more confused, but only during the day
- DPatients can be seriously injured climbing over or becoming trapped in rails
7.Hard
A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?
- AAscending cholangitis
- BSimple biliary colic
- CAcute appendicitis
- DGastro-oesophageal reflux disease
8.Hard
Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?
- AThe letters can be misread as a zero, causing a tenfold overdose
- BIt changes the type of insulin given
- CPharmacists cannot dispense insulin written that way
- DThe abbreviation is only allowed on prescriptions for children
Answer key
- 1. C · About 3.5–5.0 mmol/L
- 2. B · About 4–11 × 109/L (4,000–11,000/mm3)
- 3. D · To prevent or treat bleeding in a patient with low or poorly working platelets
- 4. C · Average blood glucose over roughly the previous two to three months
- 5. C · Face the patient, speak clearly and reduce background noise
- 6. D · Patients can be seriously injured climbing over or becoming trapped in rails
- 7. A · Ascending cholangitis
- 8. A · The letters can be misread as a zero, causing a tenfold overdose
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