1.Easy
What is the immediate first aid after a needlestick injury?
- AIgnore it if the needle looked clean
- BSuck the wound to remove the blood, then cover it with a plaster
- CWash the wound with soap and running water without scrubbing
- DScrub the wound hard with a brush
2.Easy
What does the INR measure?
- AThe amount of iron stored in the body's liver and bone marrow
- BThe level of white cells in the blood
- CThe number of platelets circulating in the blood
- DHow long the blood takes to clot, compared with a standard
3.Easy
Why is jewellery removed or taped before surgery?
- ABecause metal jewellery increases blood loss during the operation
- BTo make the patient's weight easier to measure
- CBecause metal raises the risk of postoperative nausea
- DTo reduce the risk of diathermy burns and pressure injury
4.Medium
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- APost-exposure prophylaxis works best when started as soon as possible
- BThe needle must be sent for culture
- CThe patient will need antibiotics
- DThe nurse must be tested for HIV the same day to confirm infection
5.Medium
A patient has colicky abdominal pain, a swollen abdomen, vomiting and has not passed stool or wind for two days. What is the likely problem?
- AAppendicitis without complications
- BBowel obstruction
- CGastroenteritis
- DIrritable bowel syndrome
6.Medium
A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?
- ATo help the patient find the sore area
- BTo monitor whether the infection is spreading or improving
- CTo mark the site for an injection
- DTo show the surgeon exactly where to make the incision
7.Hard
Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?
- AHigh-flow oxygen should always be given, whatever the SpO2
- BOxygen must never be given in chest pain
- COxygen replaces the need for an ECG
- DOxygen is given if the SpO2 is below the target range
8.Hard
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AAnxiety about the new diagnosis that will settle with reassurance and rest alone
- BHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- CA normal response to atrial fibrillation needing no action
- DA stable rhythm that can safely be reviewed at the next routine ward round
Answer key
- 1. C · Wash the wound with soap and running water without scrubbing
- 2. D · How long the blood takes to clot, compared with a standard
- 3. D · To reduce the risk of diathermy burns and pressure injury
- 4. A · Post-exposure prophylaxis works best when started as soon as possible
- 5. B · Bowel obstruction
- 6. B · To monitor whether the infection is spreading or improving
- 7. D · Oxygen is given if the SpO2 is below the target range
- 8. B · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
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