1.Easy
What are the two most common causes of peptic ulcers?
- AViral infection of the stomach and dehydration
- BLow fibre intake and lack of exercise
- CHelicobacter pylori infection and NSAID use
- DSpicy food and emotional stress on their own
2.Easy
How should nursing records be written?
- AAccurately and as soon as possible after the event, with date, time and signature
- BAt the end of the week, written from memory in one go to save time
- CIn pencil so that mistakes can be rubbed out
- DUsing personal abbreviations that only the nurse who wrote them understands
3.Easy
What is a transient ischaemic attack (TIA)?
- AA permanent stroke caused by bleeding into the brain
- BA type of migraine with no risk of stroke
- CShort-lived stroke-like symptoms that resolve completely
- DA heart attack affecting the brain
4.Medium
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- ASimple face mask at 5 L/min with the patient sitting up
- BVenturi mask set to 24%
- CNasal cannula at 2 L/min
- DNon-rebreathe mask with reservoir bag at 15 L/min
5.Medium
Why are older adults at higher risk of dehydration?
- AThey always drink large amounts of tea
- BTheir body water content increases with age
- CTheir sense of thirst is often reduced
- DTheir kidneys hold on to too much water
6.Medium
Under the Mental Capacity Act 2005 (England and Wales), which principle applies?
- AEveryone over 75 is assumed to lack capacity
- BCapacity is decided by the next of kin, who must sign a form for every decision
- CA person must be assumed to have capacity unless it is shown that they lack it
- DA diagnosis of dementia means the person lacks capacity for all decisions
7.Hard
A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?
- A"I will keep my leg raised on pillows for the first few days."
- B"I will keep the cast dry."
- C"I can push a knitting needle down the cast to scratch an itch."
- D"I will come back if my toes go numb or turn blue."
8.Hard
An older patient's blood pressure is 142/80 mmHg lying and 116/72 mmHg after standing for three minutes, and they feel dizzy. What does this show?
- APostural hypotension
- BWhite coat hypertension
- CHypertensive emergency
- DNormal blood pressure variation
Answer key
- 1. C · Helicobacter pylori infection and NSAID use
- 2. A · Accurately and as soon as possible after the event, with date, time and signature
- 3. C · Short-lived stroke-like symptoms that resolve completely
- 4. D · Non-rebreathe mask with reservoir bag at 15 L/min
- 5. C · Their sense of thirst is often reduced
- 6. C · A person must be assumed to have capacity unless it is shown that they lack it
- 7. C · "I can push a knitting needle down the cast to scratch an itch."
- 8. A · Postural hypotension
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