1.Easy
Which of these is a modifiable risk factor for coronary heart disease?
- AMale sex
- BFamily history
- CAge
- DSmoking
2.Easy
Which pair of symptoms is typical of hyperglycaemia?
- ASlow pulse and cold, pale skin
- BPinpoint pupils and slow breathing
- CSweating, trembling hands and a sudden feeling of hunger
- DIncreased thirst and passing large amounts of urine
3.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
- CAt the end of the week, written from memory in one go to save time
- DIn pencil so that mistakes can be rubbed out
4.Medium
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AIncreased urine output, less breathlessness and a falling weight
- BA rise in blood pressure and a new cough
- CFalling urine output, new ankle swelling and a rise in weight
- DA rise in weight and more lung crackles
5.Medium
Which examination findings suggest a large pleural effusion on one side?
- AA hyper-resonant chest with the trachea pulled towards that side
- BWheeze heard over both lungs
- CDull percussion and reduced breath sounds over the lung base
- DNormal breath sounds and normal percussion
6.Medium
Which group of features is typical of nephrotic syndrome?
- ASevere loin pain and fever
- BHeavy proteinuria, low serum albumin and oedema
- CPolyuria, thirst and weight loss
- DBlood in the urine, high blood pressure and reduced urine output only
7.Hard
A patient with severe asthma becomes quiet, with a "silent chest", exhaustion and a falling respiratory rate. What does this indicate?
- ANormal recovery after a nebuliser
- BAnxiety only
- CLife-threatening asthma with impending respiratory arrest
- DImprovement of the attack as the bronchospasm settles and the airways relax
8.Hard
A severely hypothermic patient is in cardiac arrest. Why is resuscitation usually continued until they are rewarmed?
- AHypothermia always causes brain death quickly
- BThe cold protects the brain, so recovery may be possible after long resuscitation
- CCold patients cannot be defibrillated at all, so CPR is the only possible treatment
- DAdrenaline works better in cold patients
Answer key
- 1. D · Smoking
- 2. D · Increased thirst and passing large amounts of urine
- 3. B · Accurately and as soon as possible after the event, with date, time and signature
- 4. A · Increased urine output, less breathlessness and a falling weight
- 5. C · Dull percussion and reduced breath sounds over the lung base
- 6. B · Heavy proteinuria, low serum albumin and oedema
- 7. C · Life-threatening asthma with impending respiratory arrest
- 8. B · The cold protects the brain, so recovery may be possible after long resuscitation
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