1.Easy
What is lymphoedema?
- AInflammation of the lymph nodes in the neck and armpits from a virus
- BSwelling from a broken bone in the arm
- CFluid in the lungs from heart failure
- DSwelling from poor lymph drainage, for example after node removal
2.Easy
On a numerical rating scale for pain, what do 0 and 10 usually mean?
- A0 is the worst pain and 10 is no pain at all
- BThe numbers show how many hours the pain has lasted
- C0 is mild pain and 10 is moderate pain
- D0 is no pain and 10 is the worst pain imaginable
3.Easy
What does black tissue in a wound bed usually indicate?
- ANew epithelial cells
- BNormal blood clot from a fresh cut
- CHealthy granulation tissue
- DNecrotic (dead) tissue
4.Medium
Which bedside assessments are used to follow ascites?
- APupil size and reaction twice daily
- BDaily weight and abdominal girth
- CPeak flow and oxygen saturation
- DCapillary glucose before each meal
5.Medium
Which statement best describes tolerance to opioids?
- AThe patient has a compulsive craving for more of the drug
- BThe patient has developed an allergy to the drug
- CA higher dose is needed over time for the same effect
- DThe drug no longer causes any constipation
6.Medium
How should a patient use an incentive spirometer after surgery?
- ABreathe in slowly and deeply, then hold briefly
- BUse it once a day, just before going to sleep at night
- CBreathe quickly in and out ten times in a row
- DBlow out as hard and as fast as possible
7.Hard
A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?
- ASerum amylase level
- BPeak expiratory flow
- CAbdominal girth
- DCapillary blood glucose
8.Hard
A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?
- ALymphoedema from a previous operation
- BNormal swelling after line insertion
- CAn allergy to the dressing
- DA catheter-related deep vein thrombosis
Answer key
- 1. D · Swelling from poor lymph drainage, for example after node removal
- 2. D · 0 is no pain and 10 is the worst pain imaginable
- 3. D · Necrotic (dead) tissue
- 4. B · Daily weight and abdominal girth
- 5. C · A higher dose is needed over time for the same effect
- 6. A · Breathe in slowly and deeply, then hold briefly
- 7. D · Capillary blood glucose
- 8. D · A catheter-related deep vein thrombosis
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