1.Easy
What is the purpose of anti-embolism stockings for surgical patients?
- ATo lower the blood pressure after surgery
- BTo reduce the risk of deep vein thrombosis
- CTo prevent pressure ulcers on the heels
- DTo keep the legs warm in theatre
2.Easy
Which type of healing describes a clean surgical incision closed with sutures?
- ATertiary intention
- BDelayed intention
- CSecondary intention
- DPrimary intention
3.Easy
In TNM staging of cancer, what does "N" describe?
- AThe nerve damage caused by the tumour
- BThe new cells formed after treatment
- CThe number of tumours in the body
- DSpread to nearby lymph nodes
4.Medium
Why is the "whoosh" test no longer used to check nasogastric tube position?
- AThe air always makes the tube block
- BAir can be heard even when the tube is in the lung
- CThe test is far too painful for most patients to tolerate
- DIt needs an X-ray machine at the bedside
5.Medium
Which nursing care helps a new skin graft take?
- ARemoving the dressing every hour to look at it
- BEncouraging the patient to exercise the area straight away
- CKeeping the area still and avoiding shearing forces
- DMassaging the graft firmly several times a day
6.Medium
How large should the opening of a stoma appliance be cut?
- AAbout 2 cm larger than the stoma all round
- BAny size, as long as the stoma is covered
- CSlightly smaller than the stoma for a tight seal
- DAbout 2–3 mm larger than the stoma all round
7.Hard
Which patient has the highest risk of postoperative nausea and vomiting?
- AA non-smoking woman with motion sickness who will need opioids
- BA man with no history of nausea having local anaesthetic only
- CA smoker who has never had nausea after surgery
- DA male smoker having a short procedure without opioids
8.Hard
A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?
- AA simple lower urinary tract infection
- BBowel preparation that was taken too quickly
- CA fistula between the colon and the bladder
- DA kidney stone blocking the ureter
Answer key
- 1. B · To reduce the risk of deep vein thrombosis
- 2. D · Primary intention
- 3. D · Spread to nearby lymph nodes
- 4. B · Air can be heard even when the tube is in the lung
- 5. C · Keeping the area still and avoiding shearing forces
- 6. D · About 2–3 mm larger than the stoma all round
- 7. A · A non-smoking woman with motion sickness who will need opioids
- 8. C · A fistula between the colon and the bladder
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