1.Easy
The MUST tool is used to screen adults for:
- APressure ulcer risk
- BRisk of falls
- CDepression
- DMalnutrition
2.Easy
What is the main purpose of an early warning score such as NEWS2?
- ATo help detect clinical deterioration early and trigger a response
- BTo calculate a patient's medicine doses from their observations
- CTo decide the patient's diet
- DTo measure how satisfied the patient is
3.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A5
- B0
- C3
- D1
4.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
- CSpeak very quickly to save time
- DFace the patient, speak clearly and reduce background noise
5.Medium
A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?
- AVisual acuity
- BBreathing function, such as forced vital capacity
- CBlood glucose, measured once a day before breakfast
- DWeekly weight
6.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- ALift the patient straight back into bed so they are comfortable
- BPhone the patient's family
- CComplete the incident report form
- DCheck the patient for injuries before moving them
7.Hard
Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?
- ABeta-blockers make the patient sleep through the night
- BBeta-blockers can mask warning signs such as tremor and a fast heart rate
- CBeta-blockers stop the liver from responding to insulin
- DBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
8.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
- BA ruptured abdominal aortic aneurysm
- CAcute gastritis from anti-inflammatory drugs
- DRenal colic from a kidney stone
Answer key
- 1. D · Malnutrition
- 2. A · To help detect clinical deterioration early and trigger a response
- 3. C · 3
- 4. D · Face the patient, speak clearly and reduce background noise
- 5. B · Breathing function, such as forced vital capacity
- 6. D · Check the patient for injuries before moving them
- 7. B · Beta-blockers can mask warning signs such as tremor and a fast heart rate
- 8. B · A ruptured abdominal aortic aneurysm
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