1.Easy
What does SBAR stand for in clinical handover?
- ASymptoms, Blood pressure, Airway, Respiratory rate
- BSafety, Breathing, Alertness, Risk
- CSituation, Background, Assessment, Recommendation
- DSummary, Bedside, Action, Review
2.Easy
The term "tinnitus" means:
- ARinging or buzzing in the ears
- BBlurred vision
- CLoss of balance and dizziness
- DA blocked nose
3.Easy
A "sublingual" medicine is given:
- AInto the vein
- BThrough the nose
- CBetween the cheek and gum
- DUnder the tongue
4.Medium
A patient's NEWS2 score has risen to 7. What is the appropriate response?
- AContinue observations every 12 hours
- BEmergency assessment by a clinical team with critical care skills
- CRecord the score, increase observations and wait for the morning ward round
- DGive a sedative and recheck later
5.Medium
A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?
- AGive medicines by intramuscular injection
- BTake temperatures rectally
- CEncourage contact sports to keep fit
- DUse a soft toothbrush and an electric razor
6.Medium
Which statement about storing insulin is correct?
- AInsulin should be kept in direct sunlight
- BAll insulin should be stored in the freezer to keep it fresh
- CInsulin never expires once opened
- DUnopened insulin is kept in the fridge and must not be frozen
7.Hard
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AKidney failure makes the stomach absorb more morphine
- BKidney disease makes the opioid receptors disappear
- CThe kidneys normally activate morphine, so more of it becomes active
- DIts active metabolites build up because the kidneys excrete them
8.Hard
An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO2 is now 100% and stable. What should be done?
- AReduce the oxygen to keep the SpO2 within the prescribed target range
- BIncrease the oxygen further to build up a reserve
- CKeep the oxygen at 15 L/min for at least a week to be on the safe side
- DStop the oxygen and the saturation monitoring because the patient is now well
Answer key
- 1. C · Situation, Background, Assessment, Recommendation
- 2. A · Ringing or buzzing in the ears
- 3. D · Under the tongue
- 4. B · Emergency assessment by a clinical team with critical care skills
- 5. D · Use a soft toothbrush and an electric razor
- 6. D · Unopened insulin is kept in the fridge and must not be frozen
- 7. D · Its active metabolites build up because the kidneys excrete them
- 8. A · Reduce the oxygen to keep the SpO2 within the prescribed target range
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