1.Easy
What should be done with a used needle after an injection?
- APut it in the clinical waste bag
- BPut it straight into a sharps container without recapping
- CRecap it carefully using both hands, then put it in the bin
- DPlace it on the bed until the end of the round
2.Easy
Which sign suggests dehydration in an adult?
- ADry mouth, dark concentrated urine and tachycardia
- BSwollen ankles, crackles in the lungs and a raised JVP
- CWeight gain over two days
- DMoist mouth, pale urine and normal pulse
3.Easy
The term "polypharmacy" usually means:
- AA single medicine that contains many active ingredients
- BA pharmacy that sells many different brands
- CGiving one medicine by several routes
- DA patient taking many medicines at the same time
4.Medium
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ASit down before using it, as it can cause dizziness and low blood pressure
- BSwallow the spray rather than leaving it under the tongue
- CUse it only after the pain has lasted over an hour, with the patient lying flat
- DTake it with a large glass of milk to protect the stomach lining
5.Medium
Why are alternate sutures sometimes removed first when taking out stitches?
- ATo make the procedure faster
- BBecause the remaining sutures dissolve on their own within a day
- CTo check the wound stays closed before removing the rest
- DTo reduce the cost of dressings
6.Medium
Which factor is most likely to slow wound healing?
- AGood blood glucose control
- BAdequate fluid intake
- CA diet rich in protein
- DSmoking
7.Hard
An arterial blood gas shows a low PaO2 with a low or normal PaCO2. How is this classified?
- AType 1 respiratory failure
- BNormal blood gas
- CType 2 respiratory failure
- DMetabolic acidosis
8.Hard
A patient on an anticoagulant falls and hits their head but appears well. What is the correct action?
- AArrange medical review and likely CT scan, with neurological observations
- BGive an extra dose of anticoagulant
- CEncourage the patient to sleep without observations
- DNo action, because the patient appears well
Answer key
- 1. B · Put it straight into a sharps container without recapping
- 2. A · Dry mouth, dark concentrated urine and tachycardia
- 3. D · A patient taking many medicines at the same time
- 4. A · Sit down before using it, as it can cause dizziness and low blood pressure
- 5. C · To check the wound stays closed before removing the rest
- 6. D · Smoking
- 7. A · Type 1 respiratory failure
- 8. A · Arrange medical review and likely CT scan, with neurological observations
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