1.Easy
Shingles (herpes zoster) is caused by:
- AAn allergy to medicines
- BReactivation of the chickenpox virus
- CA fungal infection of the nerves
- DA bacterial skin infection
2.Easy
Which of these is one of the "rights" of safe medication administration?
- ARight bed number
- BRight brand of packaging
- CRight nurse on duty
- DRight route
3.Easy
The Glasgow Coma Scale (GCS) assesses:
- APupil size and reaction, blood pressure and pulse
- BReflexes, muscle tone and sensation
- CPain, nausea and anxiety
- DEye opening, verbal response and motor response
4.Medium
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- ABed rails are illegal in all hospitals and must never be used at all
- BBed rails stop staff from taking observations
- CBed rails always make patients more confused, but only during the day
- DPatients can be seriously injured climbing over or becoming trapped in rails
5.Medium
Why are people with diabetes advised to have regular eye screening?
- ATo measure their blood glucose through the eye
- BTo prevent conjunctivitis
- CTo detect diabetic retinopathy early, before sight is lost
- DTo check whether they need reading glasses for close work
6.Medium
Within which time window is IV thrombolysis generally given for acute ischaemic stroke?
- AWithin 48 hours of the onset of symptoms
- BAt any time within a week
- COnly after 24 hours
- DWithin 4.5 hours of symptom onset
7.Hard
A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?
- AHypothermia from the fire service water
- BA minor throat infection
- CDehydration from sweating
- DAirway swelling from inhalation injury
8.Hard
A patient who has had a kidney stone is taught about prevention. Which statement shows a need for further teaching?
- A"I will aim to drink plenty of fluids spread through every day."
- B"I will follow the diet advice for my stone type."
- C"I will try to pass pale urine."
- D"I will drink less water so I don't need to pass urine as often."
Answer key
- 1. B · Reactivation of the chickenpox virus
- 2. D · Right route
- 3. D · Eye opening, verbal response and motor response
- 4. D · Patients can be seriously injured climbing over or becoming trapped in rails
- 5. C · To detect diabetic retinopathy early, before sight is lost
- 6. D · Within 4.5 hours of symptom onset
- 7. D · Airway swelling from inhalation injury
- 8. D · "I will drink less water so I don't need to pass urine as often."
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