1.Easy
What is the most reliable indicator of pain in a patient who can communicate?
- AThe nurse's impression of their face
- BThe patient's blood pressure
- CThe patient's own report
- DThe patient's heart rate
2.Easy
What is the Visual Infusion Phlebitis (VIP) score used for?
- AScoring the patient's pain
- BChecking blood glucose control
- CMeasuring the speed and volume of an infusion
- DAssessing a cannula site for signs of phlebitis
3.Easy
A key nursing measure to reduce catheter-associated urinary tract infection is:
- ADisconnecting the bag frequently
- BRemoving the catheter as soon as it is no longer needed
- CChanging the catheter every day
- DKeeping the drainage bag above the level of the patient's bladder
4.Medium
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe needle must be sent for culture
- BThe nurse must be tested for HIV the same day to confirm infection
- CPost-exposure prophylaxis works best when started as soon as possible
- DThe patient will need antibiotics
5.Medium
A patient is receiving IV fluids for several days. Which monitoring is essential?
- AMonthly HbA1c
- BFluid balance, regular weights and urea, creatinine and electrolytes
- CWeekly temperature and a single blood glucose reading
- DPeak flow readings
6.Medium
A patient is having a 12-lead ECG. Where are the chest electrodes placed?
- AIn standard numbered positions across the front and left of the chest
- BAnywhere on the chest where the skin is clear
- CIn a straight line down the centre of the sternum from top to bottom
- DOn both shoulders and both hips only
7.Hard
A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?
- ATo check for rheumatoid arthritis antibodies in the joint fluid
- BTo prevent osteoporosis
- CTo measure the patient's cholesterol
- DTo rule out septic arthritis, which can rapidly destroy the joint
8.Hard
Which set of findings best distinguishes cardiogenic shock from hypovolaemic shock?
- AReduced urine output
- BRaised jugular venous pressure and lung crackles
- CCool, pale skin
- DTachycardia, hypotension and a weak, thready peripheral pulse
Answer key
- 1. C · The patient's own report
- 2. D · Assessing a cannula site for signs of phlebitis
- 3. B · Removing the catheter as soon as it is no longer needed
- 4. C · Post-exposure prophylaxis works best when started as soon as possible
- 5. B · Fluid balance, regular weights and urea, creatinine and electrolytes
- 6. A · In standard numbered positions across the front and left of the chest
- 7. D · To rule out septic arthritis, which can rapidly destroy the joint
- 8. B · Raised jugular venous pressure and lung crackles
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