1.Easy
What is a blood culture used to detect?
- AThe number of red cells
- BThe level of glucose in the blood
- CThe patient's blood group
- DBacteria or fungi in the bloodstream
2.Easy
What does "cyanosis" describe?
- AA bluish colour of the skin or lips from poorly oxygenated blood
- BPale skin caused by fear or pain
- CA yellow colour of the skin and eyes caused by raised bilirubin
- DA red, flushed face from fever
3.Easy
Anaemia means:
- AA lower than normal haemoglobin level
- BA low platelet count
- CA higher than normal white cell count
- DA raised blood glucose level
4.Medium
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AStopping causes severe low blood pressure
- BStopping early greatly increases the risk of a clot forming in the stent
- CStopping causes immediate kidney failure
- DThe stent will dissolve if the drugs are stopped before the course ends
5.Medium
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AApplying cold packs to the painful areas
- BRestricting oral fluids
- CGiving prompt, effective analgesia
- DDelaying pain relief until a diagnosis is confirmed
6.Medium
Which advice is important for a patient on long-term oral corticosteroids?
- ADo not stop them suddenly
- BDouble the dose if a dose is missed
- CTake them on an empty stomach at night
- DTake them only when symptoms flare
7.Hard
A nurse teaches a patient with diabetes about foot care. Which statement shows a need for further teaching?
- A"I will check my feet every day for cuts or blisters."
- B"I will walk barefoot at home to toughen my feet."
- C"I will wear well-fitting shoes."
- D"I will see the podiatrist about hard skin."
8.Hard
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
- AThe combination causes severe hyperkalaemia
- BSildenafil stops GTN from being absorbed under the tongue at all
- CGTN makes sildenafil toxic to the liver
- DThe combination can cause a severe, dangerous fall in blood pressure
Answer key
- 1. D · Bacteria or fungi in the bloodstream
- 2. A · A bluish colour of the skin or lips from poorly oxygenated blood
- 3. A · A lower than normal haemoglobin level
- 4. B · Stopping early greatly increases the risk of a clot forming in the stent
- 5. C · Giving prompt, effective analgesia
- 6. A · Do not stop them suddenly
- 7. B · "I will walk barefoot at home to toughen my feet."
- 8. D · The combination can cause a severe, dangerous fall in blood pressure
Full step-by-step solutions: practise this topic on examproblems.com.