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Name: ____________________ Date: ____________
1.Easy
How should nursing records be written?
AUsing personal abbreviations that only the nurse who wrote them understands
BAccurately and as soon as possible after the event, with date, time and signature
CIn pencil so that mistakes can be rubbed out
DAt the end of the week, written from memory in one go to save time
2.Easy
Which of these intravenous fluids is isotonic?
A10% glucose
B3% sodium chloride
C8.4% sodium bicarbonate
D0.9% sodium chloride
3.Easy
The Glasgow Coma Scale (GCS) assesses:
AReflexes, muscle tone and sensation
BPain, nausea and anxiety
CEye opening, verbal response and motor response
DPupil size and reaction, blood pressure and pulse
4.Medium
A patient with heart failure has pink, frothy sputum and crackles throughout both lungs. What is happening?
AAcute pulmonary oedema
BUpper gastrointestinal bleeding
CAsthma attack
DPneumothorax
5.Medium
Within which time window is IV thrombolysis generally given for acute ischaemic stroke?
AWithin 4.5 hours of symptom onset
BWithin 48 hours of the onset of symptoms
COnly after 24 hours
DAt any time within a week
6.Medium
A patient has a fentanyl patch for chronic pain. Which advice is correct?
ACut the patch in half if the pain improves, to lower the dose
BAvoid heat sources such as hot water bottles over the patch
CKeep using the old patch with the new one
DApply the patch to broken skin for faster effect
7.Hard
Why are patients with nephrotic syndrome at increased risk of blood clots?
ATheir blood pressure is always very low
BAnticoagulant proteins are lost in the urine and clotting factors rise
CThey lose all their red cells in the urine, which thickens the remaining blood
DThey lose most of their platelets in the urine every day
8.Hard
Which action is most important in protecting a patient with severe neutropenia from infection?
AGiving routine intramuscular injections
BStrict hand hygiene by everyone who has contact with the patient
CKeeping fresh flowers and plants in the room to help the patient's mood
DTaking rectal temperatures regularly
Answer key
1. B · Accurately and as soon as possible after the event, with date, time and signature
2. D · 0.9% sodium chloride
3. C · Eye opening, verbal response and motor response
4. A · Acute pulmonary oedema
5. A · Within 4.5 hours of symptom onset
6. B · Avoid heat sources such as hot water bottles over the patch
7. B · Anticoagulant proteins are lost in the urine and clotting factors rise
8. B · Strict hand hygiene by everyone who has contact with the patient
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