1.Easy
What does PCA stand for in pain management?
- APain control by an assistant
- BPost-care assessment
- CPrescribed continuous anaesthesia
- DPatient-controlled analgesia
2.Easy
Which bowel sounds are typical early in a mechanical small bowel obstruction?
- AHigh-pitched, tinkling sounds
- BCompletely absent sounds from the start
- CA pleural friction rub
- DQuiet, normal gurgling sounds
3.Easy
Radiotherapy to the pelvis commonly causes which side effects?
- AHair loss from the scalp
- BDry mouth and changes in taste for many months afterwards
- CCough and breathlessness
- DDiarrhoea and frequent, painful passing of urine
4.Medium
Which statement about feeding in mild acute pancreatitis fits current guidance?
- AFood is withheld until the amylase is back to normal
- BOral feeding can restart early, once pain and nausea allow
- CPatients must stay nil by mouth for at least three weeks to rest the pancreas
- DPatients should be fed only by parenteral nutrition
5.Medium
Which dressing is generally suitable for a dry, sloughy wound that needs moisture?
- AA hydrogel
- BDry gauze
- CA foam
- DAn alginate
6.Medium
How can low-dose opioids help a patient with breathlessness from advanced cancer?
- AThey reduce the feeling of breathlessness
- BThey open the airways like an inhaler
- CThey increase the oxygen level in the blood
- DThey cure the underlying lung disease
7.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
- BLay the patient flat to help them sleep
- CGive a warm drink to soothe the throat
- DEncourage the patient to rest the voice and reassess tomorrow
8.Hard
A patient has an implanted port for chemotherapy. Which needle is used to access it?
- AA wide-bore cannula with a steel stylet
- BA standard hollow needle used for venepuncture
- CA non-coring (Huber) needle
- DAn intramuscular injection needle
Answer key
- 1. D · Patient-controlled analgesia
- 2. A · High-pitched, tinkling sounds
- 3. D · Diarrhoea and frequent, painful passing of urine
- 4. B · Oral feeding can restart early, once pain and nausea allow
- 5. A · A hydrogel
- 6. A · They reduce the feeling of breathlessness
- 7. A · Call for urgent anaesthetic help, as the airway is swelling
- 8. C · A non-coring (Huber) needle
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