1.Easy
The Glasgow Coma Scale (GCS) assesses:
- AEye opening, verbal response and motor response
- BPain, nausea and anxiety
- CReflexes, muscle tone and sensation
- DPupil size and reaction, blood pressure and pulse
2.Easy
What is the main purpose of a surgical wound drain?
- ATo remove blood or fluid so it does not collect in the wound
- BTo keep the wound open permanently so that it can be cleaned
- CTo give antibiotics directly into the wound bed
- DTo measure the patient's temperature
3.Easy
What is the aim of aseptic non-touch technique (ANTT)?
- ATo make every procedure completely sterile
- BTo allow procedures to be done without gloves in all cases
- CTo protect key parts and key sites from contamination
- DTo avoid needing to wash hands
4.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
- CApply a warm pack and continue the infusion
- DStop the infusion straight away and follow the extravasation protocol
5.Medium
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
- ARheumatic fever
- BMyocardial infarction
- CInfective endocarditis
- DPericarditis
6.Medium
Which ECG change is typical of hypokalaemia?
- ATall, peaked T waves
- BST elevation in leads II, III and aVF
- CFlattened T waves and prominent U waves
- DA very short PR interval with a delta wave
7.Hard
An arterial blood gas shows a low PaO2 with a low or normal PaCO2. How is this classified?
- AType 2 respiratory failure
- BNormal blood gas
- CMetabolic acidosis
- DType 1 respiratory failure
8.Hard
Why should potassium chloride concentrate never be given as a rapid intravenous injection?
- AIt can cause fatal cardiac arrhythmias
- BIt causes immediate kidney failure
- CIt crystallises in the vein and blocks the cannula
- DIt has no effect when given fast
Answer key
- 1. A · Eye opening, verbal response and motor response
- 2. A · To remove blood or fluid so it does not collect in the wound
- 3. C · To protect key parts and key sites from contamination
- 4. D · Stop the infusion straight away and follow the extravasation protocol
- 5. C · Infective endocarditis
- 6. C · Flattened T waves and prominent U waves
- 7. D · Type 1 respiratory failure
- 8. A · It can cause fatal cardiac arrhythmias
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