1.Easy
Which hand hygiene method is needed after caring for a patient with Clostridioides difficile diarrhoea?
- AWashing with soap and water
- BWiping hands on a paper towel
- CAlcohol hand rub only
- DNo hand hygiene if gloves were worn
2.Easy
Which type of pain is typical of a kidney stone?
- AA burning pain behind the breastbone after meals
- BA dull ache in both knees
- CA tight band around the head
- DSevere, colicky pain from the loin towards the groin
3.Easy
Graduated compression stockings and early mobilisation are used after surgery mainly to prevent:
- AUrinary retention
- BPressure ulcers of the heel only
- CVenous thromboembolism
- DWound infection
4.Medium
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
- AAvoid large meals late in the evening and raise the head of the bed
- BLie down straight after each meal to let the food settle
- CWear tight belts to support the stomach
- DEat one very large meal a day rather than several small ones
5.Medium
Which measure helps prevent delirium in older inpatients?
- AReorientation, glasses and hearing aids in use, and good sleep and hydration
- BMoving the patient to a different bed each night to give them a change of scene
- CRestricting fluids to avoid incontinence
- DKeeping the lights on all night
6.Medium
A patient with neutropenia after chemotherapy has a temperature of 38.3 °C. What is the priority?
- AEncourage the patient to go for a walk
- BGive paracetamol only and recheck the temperature again tomorrow
- CTreat as neutropenic sepsis and give IV antibiotics urgently
- DWait 24 hours to see whether the fever settles
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"Mr Chen's blood pressure is 128/80 as usual."
- D"Mrs Jones would like a cup of tea and her glasses cleaned."
8.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient awaiting discharge with stable observations
- BA patient with new-onset confusion and a respiratory rate of 28/min
- CA patient asking for a laxative
- DA patient with chronic back pain scored 4/10
Answer key
- 1. A · Washing with soap and water
- 2. D · Severe, colicky pain from the loin towards the groin
- 3. C · Venous thromboembolism
- 4. A · Avoid large meals late in the evening and raise the head of the bed
- 5. A · Reorientation, glasses and hearing aids in use, and good sleep and hydration
- 6. C · Treat as neutropenic sepsis and give IV antibiotics urgently
- 7. B · "Mr Patel's breathing rate is 8 a minute and he's hard to wake."
- 8. B · A patient with new-onset confusion and a respiratory rate of 28/min
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