1.Easy
What is a typical SpO2 in a healthy adult at rest breathing room air?
- AAbout 75–80%
- BAbout 60–70%
- CAbout 95–100%
- DAbout 85–88%
2.Easy
The term "bradycardia" in an adult means a heart rate:
- ABetween 60 and 100 beats per minute
- BAbove 100 beats per minute
- CBelow 60 beats per minute
- DThat is irregularly irregular
3.Easy
Which hand hygiene method is needed after caring for a patient with Clostridioides difficile diarrhoea?
- AAlcohol hand rub only
- BWashing with soap and water
- CNo hand hygiene if gloves were worn
- DWiping hands on a paper towel
4.Medium
What should a nurse do during a generalised tonic-clonic seizure?
- AGive the patient a drink of water
- BProtect the head, time the seizure and do not put anything in the mouth
- CPut a tongue depressor between the teeth so that the tongue is not bitten
- DHold the limbs firmly to stop the jerking and prevent injury
5.Medium
Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?
- ATo exclude significant arterial disease, as compression could cut off blood flow
- BTo measure how deep the ulcer is and how much exudate it produces
- CTo check for a urinary tract infection that could delay ulcer healing
- DTo work out the patient's fluid needs
6.Medium
Which group of symptoms suggests hypercalcaemia?
- ASweating, tremor and sudden hunger
- BTingling lips, muscle cramps and spasms of the hands and feet
- CWeight gain, feeling cold and a slow pulse
- DThirst, constipation, confusion and abdominal pain
7.Hard
A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?
- AHypothyroidism
- BAn allergic reaction to food
- CRight-sided heart failure from valve disease
- DSuperior vena cava obstruction
8.Hard
A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?
- AThat the catheter and tubing are not kinked or blocked
- BThe patient's weight from last year
- CThe patient's cholesterol level from the admission bloods
- DWhether the patient has eaten breakfast
Answer key
- 1. C · About 95–100%
- 2. C · Below 60 beats per minute
- 3. B · Washing with soap and water
- 4. B · Protect the head, time the seizure and do not put anything in the mouth
- 5. A · To exclude significant arterial disease, as compression could cut off blood flow
- 6. D · Thirst, constipation, confusion and abdominal pain
- 7. D · Superior vena cava obstruction
- 8. A · That the catheter and tubing are not kinked or blocked
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