1.Easy
Rheumatoid arthritis typically affects:
- AOnly one large weight-bearing joint, such as the knee or hip
- BThe small joints of the hands and feet on both sides of the body
- COnly the big toe
- DOnly the spine
2.Easy
What is a normal capillary refill time in an adult?
- AMore than 15 seconds
- B2 seconds or less
- C8–10 seconds
- D5–6 seconds
3.Easy
Seasonal influenza is mainly spread by:
- AMosquito and other insect bites in warm weather
- BContaminated food only
- CBlood transfusions and contaminated needles
- DRespiratory droplets and contaminated hands or surfaces
4.Medium
How does CPAP help a patient with obstructive sleep apnoea?
- AIt removes excess carbon dioxide from the lungs by gentle suction
- BIt delivers bronchodilator drugs deep into the lungs overnight
- CIt keeps the upper airway open during sleep with continuous air pressure
- DIt strengthens the breathing muscles during the day
5.Medium
After thyroid surgery, a patient has tingling around the mouth and muscle cramps. Which electrolyte problem should be suspected?
- AHypernatraemia
- BHypocalcaemia
- CHypermagnesaemia
- DHyperkalaemia
6.Medium
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AAvoid blood pressure readings and blood samples on that arm
- BUse the fistula arm for routine IV cannulas
- CKeep the arm raised and still at all times
- DApply a tight bandage over the fistula at night to protect it
7.Hard
A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?
- AMuscle strain from lying in the same position in bed for many hours
- BMild hypokalaemia
- CThe normal expected effect of the local anaesthetic
- DAn epidural haematoma or abscess compressing the spinal cord
8.Hard
Why is hypokalaemia particularly dangerous in a patient taking digoxin?
- ALow potassium increases the risk of digoxin toxicity
- BLow potassium makes digoxin work too slowly
- CDigoxin raises potassium to dangerous levels when it is already low
- DLow potassium stops digoxin from being absorbed
Answer key
- 1. B · The small joints of the hands and feet on both sides of the body
- 2. B · 2 seconds or less
- 3. D · Respiratory droplets and contaminated hands or surfaces
- 4. C · It keeps the upper airway open during sleep with continuous air pressure
- 5. B · Hypocalcaemia
- 6. A · Avoid blood pressure readings and blood samples on that arm
- 7. D · An epidural haematoma or abscess compressing the spinal cord
- 8. A · Low potassium increases the risk of digoxin toxicity
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