1.Easy
The term "hemiplegia" means:
- AWeakness of the facial muscles only
- BParalysis of all four limbs
- CParalysis of one side of the body
- DParalysis of both legs
2.Easy
Pinpoint pupils, slow breathing and drowsiness after surgery most likely suggest:
- AHypoglycaemia
- BDehydration
- CRaised intracranial pressure only
- DOpioid toxicity
3.Easy
Which structure is the heart's natural pacemaker?
- AThe left ventricle
- BThe sinoatrial (SA) node
- CThe mitral valve in the left side of the heart
- DThe aorta
4.Medium
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
- ARestrict fluids to encourage appetite and give a low-protein diet instead
- BRefer to the dietitian and start a nutrition care plan with food charts
- CWeigh the patient again in six months and review at that point
- DEncourage a low-calorie diet
5.Medium
A patient's fluid balance chart shows intake of 1,200 mL and output of 2,300 mL over 24 hours. What does this indicate?
- AA negative fluid balance of 1,100 mL
- BA positive fluid balance of 1,100 mL
- CA positive fluid balance of 3,500 mL
- DA balanced fluid status
6.Medium
What is the recommended first aid for a thermal burn?
- ACool it under cool running water for about 20 minutes
- BBurst any blisters to release the fluid
- CApply ice directly to the burn until the pain stops completely
- DSpread butter or oil over the burn
7.Hard
After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?
- AA normal and harmless response to head trauma
- BAllergic rhinitis triggered by the hospital environment
- CAcute sinusitis
- DA base-of-skull fracture with a cerebrospinal fluid leak
8.Hard
A patient after abdominal surgery has not passed urine for eight hours, has lower abdominal discomfort and a palpable bladder. What is the most likely problem?
- ADehydration only
- BUrinary tract infection without retention
- CAcute urinary retention
- DAcute kidney injury with no urine production
Answer key
- 1. C · Paralysis of one side of the body
- 2. D · Opioid toxicity
- 3. B · The sinoatrial (SA) node
- 4. B · Refer to the dietitian and start a nutrition care plan with food charts
- 5. A · A negative fluid balance of 1,100 mL
- 6. A · Cool it under cool running water for about 20 minutes
- 7. D · A base-of-skull fracture with a cerebrospinal fluid leak
- 8. C · Acute urinary retention
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