1.Easy
Which type of healing describes a clean surgical incision closed with sutures?
- ADelayed intention
- BPrimary intention
- CSecondary intention
- DTertiary intention
2.Easy
What is atelectasis?
- ASwelling of both ankles caused by lying in bed after surgery
- BInfection of the surgical wound
- CCollapse of small air sacs in part of the lung
- DA blood clot in a leg vein
3.Easy
Which two factors are the most common causes of peptic ulcers?
- AHelicobacter pylori infection and NSAIDs
- BSpicy food and long-term psychological or work stress
- CSmoking and too much strong coffee
- DDrinking milk and eating citrus fruit
4.Medium
Which check is routinely made for a patient with a burn wound?
- AMeasles vaccination status
- BBlood group of the next of kin
- CTetanus immunisation status
- DVisual acuity in both eyes
5.Medium
Which measures help prevent tumour lysis syndrome in high-risk patients?
- AIV hydration with allopurinol or rasburicase
- BStopping all IV and oral fluids during the chemotherapy
- CFluid restriction with potassium tablets
- DCalcium and phosphate supplements daily
6.Medium
Why might a patient's platelet count be monitored while they receive heparin?
- ATo see whether the patient has an infection
- BTo detect heparin-induced thrombocytopenia
- CTo check whether the heparin is causing anaemia
- DTo measure the heparin dose in the blood exactly
7.Hard
After several days of a tight CPAP mask, a patient has a red, broken area on the bridge of the nose. What is this, and what should the nurse do?
- AA burn from the oxygen; apply ice to the area
- BA normal mark; take no action until it heals
- CAn allergic rash; stop the CPAP for good and give oral antihistamines
- DA device-related pressure injury; protect skin and refit the mask
8.Hard
Four patients are on a gastroenterology ward. Which should the nurse see first?
- AA patient with an ileostomy waiting to change the pouch
- BA patient with GORD who wants an antacid
- CA patient with stable ulcerative colitis asking about diet
- DA patient with cirrhosis who is newly confused and drowsy
Answer key
- 1. B · Primary intention
- 2. C · Collapse of small air sacs in part of the lung
- 3. A · Helicobacter pylori infection and NSAIDs
- 4. C · Tetanus immunisation status
- 5. A · IV hydration with allopurinol or rasburicase
- 6. B · To detect heparin-induced thrombocytopenia
- 7. D · A device-related pressure injury; protect skin and refit the mask
- 8. D · A patient with cirrhosis who is newly confused and drowsy
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