1.Easy
Anaemia means:
- AA raised blood glucose level
- BA lower than normal haemoglobin level
- CA higher than normal white cell count
- DA low platelet count
2.Easy
In the ABCDE approach to an acutely ill patient, what does "A" stand for?
- AAssessment
- BAllergies
- CAirway
- DAnalgesia
3.Easy
The term "hypernatraemia" means:
- AA high serum sodium level
- BA high blood glucose level
- CA high serum potassium level
- DA low serum sodium level
4.Medium
Which electrolyte disturbance is most dangerous for the heart rhythm?
- AHigh or low potassium
- BLow sodium
- CHigh chloride
- DLow phosphate
5.Medium
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AApplying cold packs to the painful areas
- BRestricting oral fluids
- CDelaying pain relief until a diagnosis is confirmed
- DGiving prompt, effective analgesia
6.Medium
Which drug is used to reverse unfractionated heparin?
- AProtamine sulfate
- BFlumazenil
- CNaloxone
- DVitamin K (phytomenadione)
7.Hard
Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?
- AIt changes the type of insulin given
- BThe abbreviation is only allowed on prescriptions for children
- CPharmacists cannot dispense insulin written that way
- DThe letters can be misread as a zero, causing a tenfold overdose
8.Hard
A patient with an acute GI bleed has a heart rate of 120/min and blood pressure 90/60 mmHg. What is the nursing priority after calling for help?
- AGive a large meal to restore energy
- BEncourage walking to the bathroom alone
- CDelay action until the stool colour is checked
- DSecure large-bore IV access and prepare for fluid or blood replacement
Answer key
- 1. B · A lower than normal haemoglobin level
- 2. C · Airway
- 3. A · A high serum sodium level
- 4. A · High or low potassium
- 5. D · Giving prompt, effective analgesia
- 6. A · Protamine sulfate
- 7. D · The letters can be misread as a zero, causing a tenfold overdose
- 8. D · Secure large-bore IV access and prepare for fluid or blood replacement
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