1.Easy
When should an ostomy pouch usually be emptied?
- AOnly when it starts to leak
- BOnly when it is completely full to the top
- COnce a day, at the same time
- DWhen it is one third to half full
2.Easy
What is a carcinoma?
- AA cancer arising from epithelial cells
- BA cancer arising from bone or muscle
- CA cancer of white blood cells
- DA benign growth of fatty tissue
3.Easy
Using the rule of nines in an adult, what percentage is the whole front of the trunk?
- A18%
- B9%
- C27%
- D36%
4.Medium
For which stoma can colostomy irrigation be considered?
- AAn ileal conduit draining urine
- BAn established descending or sigmoid colostomy
- CA new ileostomy in the first week
- DAny stoma that has liquid or very loose output
5.Medium
Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?
- ATo measure liver damage caused by the vaccine
- BTo confirm that the vaccine produced immunity
- CTo decide whether they need a liver biopsy
- DTo check whether they caught hepatitis B from the vaccine
6.Medium
Why might a patient's platelet count be monitored while they receive heparin?
- ATo detect heparin-induced thrombocytopenia
- BTo measure the heparin dose in the blood exactly
- CTo check whether the heparin is causing anaemia
- DTo see whether the patient has an infection
7.Hard
During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?
- AIV glucose 50%
- BIV naloxone
- CIV dantrolene
- DIV lipid emulsion
8.Hard
A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?
- A"I'll change the injection site each day."
- B"I'll rub the area afterwards to spread the medicine."
- C"I'll report any unusual bruising or bleeding."
- D"I'll put the used syringe in the sharps bin."
Answer key
- 1. D · When it is one third to half full
- 2. A · A cancer arising from epithelial cells
- 3. A · 18%
- 4. B · An established descending or sigmoid colostomy
- 5. B · To confirm that the vaccine produced immunity
- 6. A · To detect heparin-induced thrombocytopenia
- 7. D · IV lipid emulsion
- 8. B · "I'll rub the area afterwards to spread the medicine."
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