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Name: ____________________ Date: ____________
1.Easy
What does standard H. pylori eradication therapy usually combine?
AAn antacid and a single antifungal drug
BA proton pump inhibitor and two antibiotics
CTwo NSAIDs and a stimulant laxative for one month
DA steroid and an antiviral drug
2.Easy
Using the rule of nines in an adult, what percentage is the whole front of the trunk?
A9%
B27%
C18%
D36%
3.Easy
Which advice helps a patient with oral mucositis from chemotherapy?
AAn alcohol-based mouthwash used several times a day to disinfect
BGentle care with a soft toothbrush and saline mouth rinses
CHot, spicy food to stimulate the flow of saliva
DStopping all mouth care until the soreness settles
4.Medium
When breaking bad news, what is the first step in frameworks such as SPIKES?
AGive the diagnosis as quickly as possible in the corridor
BSet up a private setting with enough time
CAsk the family to decide what the patient should be told
DGive all treatment options before checking understanding
5.Medium
Which neutrophil count indicates severe neutropenia?
AAbove 2.0 × 109/L
BBelow 7.5 × 109/L
CBelow 0.5 × 109/L
DAbove 10 × 109/L
6.Medium
Which finding suggests a deep tissue pressure injury?
AIntact skin that is purple or maroon over a bony area
BDry, flaky skin on both shins
CA small scratch on the skin with a little fresh red blood
DPale pink skin that blanches quickly when pressed
7.Hard
A category (stage) 4 pressure ulcer is now healing and shallower. How should it be documented according to standard guidance?
AAs a category 2 pressure ulcer now
BAs a category 1 pressure ulcer now
CAs a healing category 4 pressure ulcer
DAs a fully healed ulcer that can be removed from the record
8.Hard
Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?
ACall for help, give 100% oxygen and use a jaw thrust
BSit the patient up and give a drink of water
CWait a few minutes to see if it passes
DGive an opioid to calm the patient's breathing and reduce anxiety
Answer key
1. B · A proton pump inhibitor and two antibiotics
2. C · 18%
3. B · Gentle care with a soft toothbrush and saline mouth rinses
4. B · Set up a private setting with enough time
5. C · Below 0.5 × 109/L
6. A · Intact skin that is purple or maroon over a bony area
7. C · As a healing category 4 pressure ulcer
8. A · Call for help, give 100% oxygen and use a jaw thrust
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