1.Easy
Why should rings, watches and tight clothing be removed early after a burn to the arm?
- AThey interfere with the rule of nines calculation of burn size
- BSwelling may follow, and they could cut off the circulation
- CMetal items always cause infection in burns
- DThey make the burn look worse in photographs
2.Easy
What is the purpose of anti-embolism stockings for surgical patients?
- ATo lower the blood pressure after surgery
- BTo prevent pressure ulcers on the heels
- CTo reduce the risk of deep vein thrombosis
- DTo keep the legs warm in theatre
3.Easy
What does the grade of a cancer describe?
- AHow far the cancer has spread in the body
- BThe patient's age when diagnosed
- CHow many treatments the patient has had so far, including surgery
- DHow abnormal the cancer cells look under a microscope
4.Medium
How does sucralfate help a peptic ulcer heal?
- AIt blocks histamine receptors on parietal cells
- BIt speeds up emptying of the stomach
- CIt kills H. pylori in the stomach lining
- DIt forms a protective coating over the ulcer base
5.Medium
Why should antacids usually be taken at a different time from other medicines?
- AThey stop the kidneys from clearing other drugs
- BThey make all other drugs much more toxic
- CThey destroy other drugs before they are swallowed
- DThey can reduce the absorption of many other drugs
6.Medium
A nasogastric feeding tube appears blocked. What is usually the first step?
- ACut the end of the tube to release the blockage inside it
- BFlush gently with warm water in a 50 mL enteral syringe
- CPush the guidewire back in to clear it
- DUse a small 5 mL syringe with firm pressure
7.Hard
A patient is splashed in the eye with an alkaline cleaning product. What is the first action?
- AAdd a few drops of vinegar to neutralise it
- BAsk the patient to rub the eye to clear it
- CIrrigate the eye at once with large volumes of water or saline
- DCover the eye with a pad and wait for a doctor to examine it first
8.Hard
A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?
- ACall for urgent anaesthetic help, as the airway is swelling
- BGive a warm drink to soothe the throat
- CLay the patient flat to help them sleep
- DEncourage the patient to rest the voice and reassess tomorrow
Answer key
- 1. B · Swelling may follow, and they could cut off the circulation
- 2. C · To reduce the risk of deep vein thrombosis
- 3. D · How abnormal the cancer cells look under a microscope
- 4. D · It forms a protective coating over the ulcer base
- 5. D · They can reduce the absorption of many other drugs
- 6. B · Flush gently with warm water in a 50 mL enteral syringe
- 7. C · Irrigate the eye at once with large volumes of water or saline
- 8. A · Call for urgent anaesthetic help, as the airway is swelling
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