1.Easy
Which of these is considered a high-alert (high-risk) medicine?
- AInsulin
- BEmollient cream
- CLactulose
- DSimple linctus
2.Easy
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A7 mmol/L
- B4 mmol/L
- C1 mmol/L
- D10 mmol/L
3.Easy
Why should insulin injection sites be rotated?
- ATo stop the insulin from freezing under the skin
- BBecause insulin causes the skin to bleed if one site is used often
- CTo prevent lumpy fatty areas that make absorption unpredictable
- DTo make the insulin work more slowly and evenly every time
4.Medium
When should discharge planning usually begin?
- AOn or soon after admission
- BAfter the patient has been home for a week
- COnly after the patient asks to go home
- DOn the morning of discharge
5.Medium
What happens in third-degree (complete) heart block?
- ANo impulses from the atria reach the ventricles, so they beat independently
- BThe ventricles beat very fast and regularly
- CThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- DEvery impulse reaches the ventricles, but each one is slightly delayed
6.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
7.Hard
A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?
- AIsolation only after the patient has gone home
- BAirborne precautions with a negative-pressure room for the whole hospital stay
- CDroplet precautions until 24 hours of effective antibiotics have been given
- DNo precautions, because it is not contagious
8.Hard
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AIV syringes cannot hold liquid medicines
- BEnteral syringes keep the medicine sterile
- CEnteral syringes measure doses less accurately
- DTo prevent accidental intravenous administration
Answer key
- 1. A · Insulin
- 2. B · 4 mmol/L
- 3. C · To prevent lumpy fatty areas that make absorption unpredictable
- 4. A · On or soon after admission
- 5. A · No impulses from the atria reach the ventricles, so they beat independently
- 6. C · Face the patient, speak clearly and reduce background noise
- 7. C · Droplet precautions until 24 hours of effective antibiotics have been given
- 8. D · To prevent accidental intravenous administration
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