1.Easy
In acute appendicitis, where does the pain classically start and where does it move to?
- AIt starts in the left shoulder and moves to the back
- BIt starts around the umbilicus and moves to the right lower abdomen
- CIt starts in the right upper abdomen and moves up to the centre of the chest
- DIt starts in the left lower abdomen and stays there
2.Easy
Which position usually helps a breathless patient with acute heart failure?
- ALying flat on the back with legs raised
- BSitting upright with legs down
- CHead-down tilt
- DLying on the stomach
3.Easy
Which sign is typical of left-sided heart failure?
- AIncreased urine output
- BPain in the right lower abdomen
- CYellowing of the skin and the whites of the eyes
- DBreathlessness, especially when lying flat
4.Medium
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AMagnesium
- BSodium
- CChloride
- DPhosphate
5.Medium
Why should a urinary catheter drainage bag be kept below the level of the bladder?
- ATo make the bag easier for the nurse to empty
- BTo stop the catheter from falling out
- CTo prevent urine flowing back into the bladder
- DTo keep the urine warm
6.Medium
Why are older adults at higher risk of dehydration?
- ATheir body water content increases with age
- BThey always drink large amounts of tea
- CTheir sense of thirst is often reduced
- DTheir kidneys hold on to too much water
7.Hard
A nurse is teaching a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will report black stools or unusual bruising."
- B"I will tell my dentist that I take warfarin."
- C"I can take aspirin if I get a headache."
- D"I will keep my INR blood test appointments."
8.Hard
Which nursing measure helps reduce raised intracranial pressure?
- ATilting the patient head-down
- BRaising the head of the bed to about 30° with the head kept midline
- CFrequent suctioning and encouraging strong coughing
- DLying the patient flat with the neck flexed forward on two pillows
Answer key
- 1. B · It starts around the umbilicus and moves to the right lower abdomen
- 2. B · Sitting upright with legs down
- 3. D · Breathlessness, especially when lying flat
- 4. A · Magnesium
- 5. C · To prevent urine flowing back into the bladder
- 6. C · Their sense of thirst is often reduced
- 7. C · "I can take aspirin if I get a headache."
- 8. B · Raising the head of the bed to about 30° with the head kept midline
Full step-by-step solutions: practise this topic on examproblems.com.