1.Easy
Which two sites are most common for pressure ulcers in patients lying in bed?
- AThe palms and the forehead
- BThe thighs and the upper arms
- CThe forearms and the knees
- DThe sacrum and the heels
2.Easy
How does ileostomy output usually differ from sigmoid colostomy output?
- AIleostomy output is formed; colostomy output is liquid
- BBoth produce formed stool once a day
- CBoth produce only gas and mucus
- DIleostomy output is liquid; colostomy output is formed
3.Easy
Which advice helps a patient with oral mucositis from chemotherapy?
- AAn alcohol-based mouthwash used several times a day to disinfect
- BGentle care with a soft toothbrush and saline mouth rinses
- CHot, spicy food to stimulate the flow of saliva
- DStopping all mouth care until the soreness settles
4.Medium
During which period after surgery is wound dehiscence most likely?
- AAbout 5–10 days after surgery
- BOnly during the operation
- CWithin the first hour
- DMore than a year after surgery
5.Medium
Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?
- ALoss of the sense of smell
- BDamage to the heart muscle
- CPermanent high blood glucose
- DExcess growth of body hair
6.Medium
Which risk is particularly linked with tramadol?
- ASevere stomach ulcers in all patients
- BSerotonin syndrome with some antidepressants, and seizures
- CHigh blood pressure that needs emergency treatment in most patients
- DRapid liver failure at normal doses
7.Hard
Which medicine commonly needs enteral feeds paused before and after each dose because the feed reduces its absorption?
- AParacetamol
- BOmeprazole liquid
- CPhenytoin
- DLactulose
8.Hard
A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?
- A"I'll report increased thirst or passing urine more often."
- B"I should not drink any alcohol."
- C"I'll take my enzyme capsules at bedtime."
- D"Oily, floating stools may mean my dose needs changing."
Answer key
- 1. D · The sacrum and the heels
- 2. D · Ileostomy output is liquid; colostomy output is formed
- 3. B · Gentle care with a soft toothbrush and saline mouth rinses
- 4. A · About 5–10 days after surgery
- 5. B · Damage to the heart muscle
- 6. B · Serotonin syndrome with some antidepressants, and seizures
- 7. C · Phenytoin
- 8. C · "I'll take my enzyme capsules at bedtime."
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