1.Easy
What is a PEG tube?
- AA drain placed in the chest to remove air
- BA thin tube passed through the nose and down into the small bowel area
- CA catheter placed in a large vein for medicines
- DA feeding tube placed through the abdominal wall into the stomach
2.Easy
How is the length of a nasogastric tube usually estimated before insertion?
- AAny length, as long as the whole tube is inserted
- BFrom the chin to the umbilicus in a straight line
- CFrom the nose tip to the earlobe, then to the xiphisternum
- DFrom the mouth to the knee on the same side of the body
3.Easy
Which finding describes a category 1 pressure ulcer?
- AA shallow open wound with a red-pink base and no slough
- BIntact skin with redness that does not blanch
- CAn open wound with visible bone at the base
- DA wound covered with thick black eschar
4.Medium
Which advice helps a person with diabetes prevent foot ulcers?
- ASoak the feet in very hot water every evening
- BCut corns off at home with a sharp blade
- CWear tight shoes to support the ankles
- DCheck the feet every day and never walk barefoot
5.Medium
Which wound drain observation should be reported immediately?
- ADrainage slowly falling each day
- BA little dried blood around the drain site
- CSmall amounts of pink serous fluid
- DA sudden large volume of fresh red blood
6.Medium
Which neutrophil count indicates severe neutropenia?
- ABelow 0.5 × 109/L
- BBelow 7.5 × 109/L
- CAbove 10 × 109/L
- DAbove 2.0 × 109/L
7.Hard
A patient with bone metastases is starting regular zoledronic acid. Which advice is important?
- AAvoid all physical activity for six months
- BStop drinking all fluids on the day of each infusion
- CTake extra calcium only on the day of infusion
- DHave a dental check and report jaw pain or loose teeth
8.Hard
A patient arrives in recovery with a temperature of 35.2 °C and is shivering. What is the most appropriate action?
- AStart active warming and monitor the temperature
- BRemove all blankets to let the body adjust
- CGive cold IV fluids to settle the shivering
- DSend the patient to the ward to warm up there under extra blankets
Answer key
- 1. D · A feeding tube placed through the abdominal wall into the stomach
- 2. C · From the nose tip to the earlobe, then to the xiphisternum
- 3. B · Intact skin with redness that does not blanch
- 4. D · Check the feet every day and never walk barefoot
- 5. D · A sudden large volume of fresh red blood
- 6. A · Below 0.5 × 109/L
- 7. D · Have a dental check and report jaw pain or loose teeth
- 8. A · Start active warming and monitor the temperature
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