1.Easy
The WHO Surgical Safety Checklist is mainly used to:
- ARecord the cost of the operation and the equipment
- BReduce avoidable errors and harm during surgery
- CBook the next theatre list
- DMeasure the surgeon's speed
2.Easy
A pneumothorax is:
- AFluid in the alveoli, usually from heart failure
- BAir in the pleural space, causing the lung to collapse
- CA blood clot in the lung arteries
- DAn infection of the lung tissue, usually caused by bacteria
3.Easy
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe lower back on the left, when walking
- BThe left lower abdomen, usually after drinking water
- CBehind the left knee
- DThe right upper abdomen, often after a fatty meal
4.Medium
What is the main benefit of pulmonary rehabilitation for patients with COPD?
- ABetter exercise capacity and quality of life
- BReversal of the lung damage caused by smoking
- CA cure for the disease within months
- DNo further need for inhalers
5.Medium
Modern wound care generally aims to keep a healing wound bed:
- ACompletely dry and open to the air
- BTightly packed with dry gauze
- CMoist but not wet
- DSoaked in antiseptic solution every day
6.Medium
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids always cause hypoglycaemia
- BSteroids make glucose meters inaccurate
- CSteroids can raise the blood glucose
- DSteroids destroy the pancreas
7.Hard
A healthcare assistant reports four observations. Which one needs the nurse's immediate action?
- A"Ms Ali has walked to the bathroom on her own."
- B"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
- C"Mrs Jones would like a cup of tea and her glasses cleaned."
- D"Mr Chen's blood pressure is 128/80 as usual."
8.Hard
A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?
- AIt is mainly given to lower the blood pressure
- BIt dissolves the clot completely within minutes of the first dose being given
- CIt thins the blood so that the lungs absorb more oxygen
- DIt stops the clot growing and prevents new clots while the body breaks it down
Answer key
- 1. B · Reduce avoidable errors and harm during surgery
- 2. B · Air in the pleural space, causing the lung to collapse
- 3. D · The right upper abdomen, often after a fatty meal
- 4. A · Better exercise capacity and quality of life
- 5. C · Moist but not wet
- 6. C · Steroids can raise the blood glucose
- 7. B · "Mr Patel's breathing rate is 8 a minute and he's hard to wake."
- 8. D · It stops the clot growing and prevents new clots while the body breaks it down
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