1.Easy
On an ECG, what does the P wave represent?
- AVentricular repolarisation
- BAtrial depolarisation
- CClosure of the heart valves
- DVentricular depolarisation
2.Easy
The term "dyspnoea" means:
- AA cough with sputum
- BBreathlessness
- CNoisy breathing during sleep
- DChest pain on breathing
3.Easy
Graduated compression stockings and early mobilisation are used after surgery mainly to prevent:
- AVenous thromboembolism
- BWound infection
- CPressure ulcers of the heel only
- DUrinary retention
4.Medium
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AFalling urine output, new ankle swelling and a rise in weight
- BIncreased urine output, less breathlessness and a falling weight
- CA rise in weight and more lung crackles
- DA rise in blood pressure and a new cough
5.Medium
Which equipment must always be kept at the bedside of a patient with a tracheostomy?
- AA blood pressure cuff and a spare nasal cannula and oxygen mask only
- BA peak flow meter and a nebuliser
- CA blood glucose meter and a spare urinary catheter of the same size
- DSpare tracheostomy tubes, including one a size smaller, and working suction
6.Medium
An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?
- AGastric ulcer
- BDiverticulitis
- CBiliary colic
- DAppendicitis
7.Hard
A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?
- AThe forehead can still be wrinkled on the affected side
- BThe patient has had a recent cold
- CThe patient has pain behind the ear
- DThe whole of one side of the face, including the forehead, is weak
8.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient with new-onset confusion and a respiratory rate of 28/min
- BA patient with chronic back pain scored 4/10
- CA patient asking for a laxative
- DA patient awaiting discharge with stable observations
Answer key
- 1. B · Atrial depolarisation
- 2. B · Breathlessness
- 3. A · Venous thromboembolism
- 4. B · Increased urine output, less breathlessness and a falling weight
- 5. D · Spare tracheostomy tubes, including one a size smaller, and working suction
- 6. B · Diverticulitis
- 7. A · The forehead can still be wrinkled on the affected side
- 8. A · A patient with new-onset confusion and a respiratory rate of 28/min
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