1.Easy
Which of these is a common complication of prolonged bed rest?
- ALower risk of pressure ulcers
- BImproved lung expansion
- CIncreased muscle strength
- DDeep vein thrombosis
2.Easy
What is the most important measure to prevent pressure ulcers in a bed-bound patient?
- ARegular repositioning to relieve pressure
- BRestricting fluids
- CKeeping the patient in one position all day
- DMassaging red areas firmly
3.Easy
The Glasgow Coma Scale (GCS) assesses:
- APain, nausea and anxiety
- BReflexes, muscle tone and sensation
- CPupil size and reaction, blood pressure and pulse
- DEye opening, verbal response and motor response
4.Medium
A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?
- AWith the head of the bed raised to at least 30 degrees
- BIn any position, as long as the feed runs slowly
- CLying on the left side with the head down to help the feed drain
- DLying completely flat
5.Medium
What is the first-line drug treatment for anaphylaxis?
- AOral antihistamine such as cetirizine
- BInhaled steroid
- CIntravenous paracetamol
- DIntramuscular adrenaline
6.Medium
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- ALocal anaesthetic creams
- BNon-steroidal anti-inflammatory drugs such as ibuprofen
- CHot packs applied to a painful joint
- DParacetamol (acetaminophen), given in a carefully reduced and monitored dose
7.Hard
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- BA stable rhythm that can safely be reviewed at the next routine ward round
- CA normal response to atrial fibrillation needing no action
- DAnxiety about the new diagnosis that will settle with reassurance and rest alone
8.Hard
Which nursing measure helps reduce raised intracranial pressure?
- ATilting the patient head-down
- BLying the patient flat with the neck flexed forward on two pillows
- CRaising the head of the bed to about 30° with the head kept midline
- DFrequent suctioning and encouraging strong coughing
Answer key
- 1. D · Deep vein thrombosis
- 2. A · Regular repositioning to relieve pressure
- 3. D · Eye opening, verbal response and motor response
- 4. A · With the head of the bed raised to at least 30 degrees
- 5. D · Intramuscular adrenaline
- 6. B · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 7. A · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
- 8. C · Raising the head of the bed to about 30° with the head kept midline
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