1.Easy
Which of these intravenous fluids is isotonic?
- A0.9% sodium chloride
- B3% sodium chloride
- C10% glucose
- D8.4% sodium bicarbonate
2.Easy
What is the most reliable indicator of pain in a patient who can communicate?
- AThe nurse's impression of their face
- BThe patient's own report
- CThe patient's heart rate
- DThe patient's blood pressure
3.Easy
The term "hemiplegia" means:
- AParalysis of one side of the body
- BParalysis of both legs
- CWeakness of the facial muscles only
- DParalysis of all four limbs
4.Medium
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A5 × 109/L
- B0.5 × 109/L
- C15 × 109/L
- D150 × 109/L
5.Medium
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AWithout monitoring oxygen saturation
- BDriven by high-flow oxygen at 15 L/min for as long as possible
- COnly with the patient lying flat
- DDriven by compressed air, with oxygen given separately if needed
6.Medium
Why does a patient with a suspected TIA need urgent specialist assessment?
- AThe risk of a full stroke is highest in the days after a TIA
- BA TIA always turns into a brain tumour unless it is treated
- CThe patient needs urgent surgery on the brain
- DThe symptoms will come back permanently within an hour
7.Hard
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AGive sips of oral fluid to clear the throat and wake them
- BOpen the airway with a head tilt–chin lift or jaw thrust
- CWait for the patient to wake up fully
- DLie the patient face down
8.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 can push a knitting needle down the cast to scratch an itch."
- C"I will keep the cast dry."
- D"I will come back if my toes go numb or turn blue."
Answer key
- 1. A · 0.9% sodium chloride
- 2. B · The patient's own report
- 3. A · Paralysis of one side of the body
- 4. B · 0.5 × 109/L
- 5. D · Driven by compressed air, with oxygen given separately if needed
- 6. A · The risk of a full stroke is highest in the days after a TIA
- 7. B · Open the airway with a head tilt–chin lift or jaw thrust
- 8. B · "I can push a knitting needle down the cast to scratch an itch."
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