1.Easy
Which dietary change lowers blood pressure most?
- AMore coffee and fewer fizzy drinks with added sugar
- BLess salt and more fruit and vegetables
- CMore fruit juice and less water
- DMore red meat and less bread
2.Easy
Which breath sound is typical of narrowed small airways in asthma?
- ACoarse crackles that clear after coughing
- BStridor heard mainly on inspiration
- CPleural friction rub on deep breathing
- DWheeze, usually louder on expiration
3.Easy
Which group of findings is typical of bacterial pneumonia?
- AFever, productive cough and crackles over one area
- BWheeze that clears fully within minutes of a reliever inhaler
- CBarrel chest and breathlessness for many years
- DSudden chest pain with clear lungs and no fever
4.Medium
A patient with hypertension takes amlodipine. Which side effect is the nurse most likely to observe?
- AWheeze
- BDry, tickly cough
- CHyperkalaemia
- DAnkle swelling
5.Medium
Which features best describe an arterial leg ulcer?
- AShallow, moist ulcer above the inner ankle with brown skin
- BPainful, pale, punched-out ulcer on the toes with weak foot pulses
- CWeeping ulcer on the shin with pitting oedema of the leg
- DPainless ulcer under the ball of the foot with thick callus around it
6.Medium
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AStart a second fluid bolus straight away without checking anything
- BStop all monitoring if the patient says they feel better
- CReassess heart rate, blood pressure, urine output and lung sounds
- DWait until the next routine observations in four hours
7.Hard
After chest trauma, a patient is hypotensive with reduced breath sounds on the left. Which finding suggests a haemothorax rather than a tension pneumothorax?
- ATrachea pushed away from the affected side
- BDullness to percussion on the affected side
- CHyper-resonance on the affected side
- DDistended neck veins
8.Hard
After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?
- AA parapneumonic effusion or empyema
- BAn allergic reaction to the antibiotic
- CNormal recovery from pneumonia
- DAsthma triggered by the infection
Answer key
- 1. B · Less salt and more fruit and vegetables
- 2. D · Wheeze, usually louder on expiration
- 3. A · Fever, productive cough and crackles over one area
- 4. D · Ankle swelling
- 5. B · Painful, pale, punched-out ulcer on the toes with weak foot pulses
- 6. C · Reassess heart rate, blood pressure, urine output and lung sounds
- 7. B · Dullness to percussion on the affected side
- 8. A · A parapneumonic effusion or empyema
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