1.Easy
Which symptom is typical of hypoglycaemia?
- AWarm, dry skin and slow pulse
- BExcessive thirst and passing a lot of urine
- CSweating, shaking and confusion
- DDeep, fast breathing with a fruity breath smell
2.Easy
Which assessment should be done regularly after a limb is put in a plaster cast?
- APeak flow measurement
- BHearing test
- CNeurovascular observations of the limb below the cast
- DVisual acuity test
3.Easy
An ileostomy is an opening onto the abdominal wall from the:
- ABladder
- BStomach
- CColon (large intestine)
- DIleum (small intestine)
4.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- ALift the patient straight back into bed so they are comfortable
- BCheck the patient for injuries before moving them
- CComplete the incident report form
- DPhone the patient's family
5.Medium
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- AUse it only after the pain has lasted over an hour, with the patient lying flat
- BTake it with a large glass of milk to protect the stomach lining
- CSwallow the spray rather than leaving it under the tongue
- DSit down before using it, as it can cause dizziness and low blood pressure
6.Medium
What should a patient starting oral iron tablets be told?
- AThey must take the tablets with strong tea
- BTheir urine will turn bright green
- CTheir stools may turn dark or black
- DThe tablets will cause weight loss
7.Hard
Why are early surgery and early mobilisation recommended for older patients with a hip fracture?
- AThey mainly reduce the cost of the operation
- BThey allow the bone to heal fully without any need for pain relief
- CThey reduce complications such as pneumonia, pressure ulcers and delirium
- DThey make physiotherapy and rehabilitation unnecessary after discharge
8.Hard
Why should chronic hypernatraemia be corrected gradually?
- AFast correction causes osmotic demyelination from swelling of the kidneys
- BFast correction causes severe hyperkalaemia
- CLowering the sodium too fast can cause cerebral oedema
- DSlow correction is only needed in children
Answer key
- 1. C · Sweating, shaking and confusion
- 2. C · Neurovascular observations of the limb below the cast
- 3. D · Ileum (small intestine)
- 4. B · Check the patient for injuries before moving them
- 5. D · Sit down before using it, as it can cause dizziness and low blood pressure
- 6. C · Their stools may turn dark or black
- 7. C · They reduce complications such as pneumonia, pressure ulcers and delirium
- 8. C · Lowering the sodium too fast can cause cerebral oedema
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