1.Easy
What is the Visual Infusion Phlebitis (VIP) score used for?
- AScoring the patient's pain
- BAssessing a cannula site for signs of phlebitis
- CMeasuring the speed and volume of an infusion
- DChecking blood glucose control
2.Easy
What is the Bristol Stool Chart used for?
- AClassifying the form and consistency of stools
- BMeasuring how much food a patient eats each day
- CScoring the risk of pressure ulcers
- DRecording the frequency of urination
3.Easy
What does SBAR stand for in clinical handover?
- ASummary, Bedside, Action, Review
- BSymptoms, Blood pressure, Airway, Respiratory rate
- CSituation, Background, Assessment, Recommendation
- DSafety, Breathing, Alertness, Risk
4.Medium
A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?
- AKeep it secret because it is a family matter
- BConfront the relative directly at the bedside about it
- CWait until the patient has been discharged
- DRaise the concern through the local safeguarding (adult protection) procedure
5.Medium
During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?
- AIncrease the rate so that the infusion finishes as quickly as possible
- BFlush the cannula hard with saline
- CStop the infusion straight away and follow the extravasation protocol
- DApply a warm pack and continue the infusion
6.Medium
A blood transfusion is about to start. What is the most important safety check?
- AWarming all blood in a microwave
- BChecking the patient's weight only
- CPositive patient identification matched to the blood component at the bedside
- DChecking the patient's dietary preferences
7.Hard
A patient's urine output has been very low for 12 hours and creatinine has risen sharply. Which drug on the chart is most likely to need review?
- AParacetamol at usual doses
- BA vitamin supplement
- CAn emollient cream
- DA non-steroidal anti-inflammatory drug such as ibuprofen
8.Hard
Which feature best distinguishes delirium from dementia?
- ADementia always causes visual hallucinations
- BDelirium is permanent, while dementia is reversible
- CDelirium starts suddenly and fluctuates, while dementia develops gradually
- DDelirium only affects people under 50, while dementia affects older people
Answer key
- 1. B · Assessing a cannula site for signs of phlebitis
- 2. A · Classifying the form and consistency of stools
- 3. C · Situation, Background, Assessment, Recommendation
- 4. D · Raise the concern through the local safeguarding (adult protection) procedure
- 5. C · Stop the infusion straight away and follow the extravasation protocol
- 6. C · Positive patient identification matched to the blood component at the bedside
- 7. D · A non-steroidal anti-inflammatory drug such as ibuprofen
- 8. C · Delirium starts suddenly and fluctuates, while dementia develops gradually
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