1.Easy
What is the immediate first aid after a needlestick injury?
- AWash the wound with soap and running water without scrubbing
- BIgnore it if the needle looked clean
- CSuck the wound to remove the blood, then cover it with a plaster
- DScrub the wound hard with a brush
2.Easy
What does the INR measure?
- AThe number of platelets circulating in the blood
- BThe amount of iron stored in the body's liver and bone marrow
- CHow long the blood takes to clot, compared with a standard
- DThe level of white cells in the blood
3.Easy
The term "hypoxaemia" means:
- AA low level of glucose in the blood
- BA low red blood cell count
- CA high level of carbon dioxide in the blood
- DA low level of oxygen in the arterial blood
4.Medium
A patient with renal colic is asked to pass urine through a strainer. Why?
- ATo measure the urine's pH and specific gravity
- BTo remove bacteria from the urine
- CTo catch any stone so that it can be analysed
- DTo make passing urine less painful
5.Medium
A patient after a road accident has severe breathlessness, absent breath sounds on one side, low blood pressure and the trachea shifted to the other side. What is the likely diagnosis?
- APneumonia
- BAsthma
- CPulmonary oedema
- DTension pneumothorax
6.Medium
A patient with liver cirrhosis becomes confused and drowsy, with a flapping tremor of the hands. Which complication is likely?
- AHepatic encephalopathy
- BAlcohol intoxication only
- CStroke
- DHypoglycaemia caused by insulin
7.Hard
A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?
- AHypothyroidism
- BAn allergic reaction to food
- CRight-sided heart failure from valve disease
- DSuperior vena cava obstruction
8.Hard
A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?
- A"I'll keep taking my tablets even if I feel well."
- B"I'll stop my tablets once my readings are normal."
- C"I'll get up slowly from sitting."
- D"I'll have my blood pressure checked regularly."
Answer key
- 1. A · Wash the wound with soap and running water without scrubbing
- 2. C · How long the blood takes to clot, compared with a standard
- 3. D · A low level of oxygen in the arterial blood
- 4. C · To catch any stone so that it can be analysed
- 5. D · Tension pneumothorax
- 6. A · Hepatic encephalopathy
- 7. D · Superior vena cava obstruction
- 8. B · "I'll stop my tablets once my readings are normal."
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