1.Easy
Which type of pain is typical of a kidney stone?
- AA dull ache in both knees
- BA burning pain behind the breastbone after meals
- CSevere, colicky pain from the loin towards the groin
- DA tight band around the head
2.Easy
What is the priority for a patient who has just had a seizure and is now drowsy?
- AHold them down firmly so they cannot move
- BLeave them alone to sleep it off without any further observation
- CGive them food and water immediately
- DPlace them in the recovery position and keep the airway clear
3.Easy
A key nursing measure to reduce catheter-associated urinary tract infection is:
- AKeeping the drainage bag above the level of the patient's bladder
- BRemoving the catheter as soon as it is no longer needed
- CDisconnecting the bag frequently
- DChanging the catheter every day
4.Medium
What is the first-line drug treatment for anaphylaxis?
- AInhaled steroid
- BIntramuscular adrenaline
- COral antihistamine such as cetirizine
- DIntravenous paracetamol
5.Medium
What is the recommended first aid for a thermal burn?
- ABurst any blisters to release the fluid
- BSpread butter or oil over the burn
- CCool it under cool running water for about 20 minutes
- DApply ice directly to the burn until the pain stops completely
6.Medium
Which statement about storing insulin is correct?
- AInsulin should be kept in direct sunlight
- BInsulin never expires once opened
- CAll insulin should be stored in the freezer to keep it fresh
- DUnopened insulin is kept in the fridge and must not be frozen
7.Hard
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
- AA slow pulse with high blood pressure
- BA fixed, dilated pupil on both sides
- CA change in level of consciousness
- DIrregular breathing pauses
8.Hard
Shortly after starting a transfusion, a patient becomes breathless, wheezy and hypotensive with facial swelling. What should the nurse do first?
- AStop the transfusion, keep IV access and call for urgent help
- BGive paracetamol and an antihistamine and continue the transfusion
- CFinish the unit quickly so the exposure time is as short as possible
- DSlow the transfusion rate and recheck the observations in an hour
Answer key
- 1. C · Severe, colicky pain from the loin towards the groin
- 2. D · Place them in the recovery position and keep the airway clear
- 3. B · Removing the catheter as soon as it is no longer needed
- 4. B · Intramuscular adrenaline
- 5. C · Cool it under cool running water for about 20 minutes
- 6. D · Unopened insulin is kept in the fridge and must not be frozen
- 7. C · A change in level of consciousness
- 8. A · Stop the transfusion, keep IV access and call for urgent help
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