1.Easy
A patient's care plan says "nil by mouth". What does this mean?
- ANo food or drink by mouth unless specific exceptions are prescribed
- BFood is allowed, but drinks must be stopped until the next day
- CThe patient may eat if they feel hungry
- DOnly clear fluids such as water and black tea are allowed
2.Easy
C-reactive protein (CRP) is a blood marker of:
- AKidney function
- BThyroid function
- CInflammation
- DBlood clotting time
3.Easy
What does "orthopnoea" mean?
- ABreathing that is abnormally slow
- BBreathlessness only during exercise
- CBreathlessness when lying flat
- DA pause in breathing during sleep
4.Medium
A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?
- ASemi-reclined at about 20 degrees, with the head supported on pillows
- BLying on their side with the knees bent
- CLying flat on their back with the head turned to one side
- DSitting fully upright, and staying upright for a time after eating
5.Medium
A postoperative patient has a heart rate of 125/min, blood pressure 88/50 mmHg and a blood-soaked dressing. What is happening?
- AHypovolaemic shock from bleeding
- BAnxiety only
- CSeptic shock from a urinary infection
- DNormal pain response
6.Medium
A patient with chronic kidney disease should usually limit which of these in their diet?
- AWater-soluble vitamins only
- BPotassium and phosphate
- CCarbohydrates completely
- DVitamin C and fibre
7.Hard
A postoperative patient has a heart rate of 115/min, temperature 38.6 °C, respiratory rate 26/min and blood pressure 85/50 mmHg despite a fluid bolus. What does this most likely indicate?
- ASeptic shock requiring urgent critical care review
- BAnxiety about discharge
- CA normal inflammatory response in the first days after surgery
- DMild dehydration only
8.Hard
Which action is most important in protecting a patient with severe neutropenia from infection?
- AKeeping fresh flowers and plants in the room to help the patient's mood
- BGiving routine intramuscular injections
- CTaking rectal temperatures regularly
- DStrict hand hygiene by everyone who has contact with the patient
Answer key
- 1. A · No food or drink by mouth unless specific exceptions are prescribed
- 2. C · Inflammation
- 3. C · Breathlessness when lying flat
- 4. D · Sitting fully upright, and staying upright for a time after eating
- 5. A · Hypovolaemic shock from bleeding
- 6. B · Potassium and phosphate
- 7. A · Septic shock requiring urgent critical care review
- 8. D · Strict hand hygiene by everyone who has contact with the patient
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