1.Easy
Which nutrient is especially important for wound healing?
- ASalt
- BAlcohol
- CCaffeine
- DProtein
2.Easy
Which finding describes a category 1 pressure ulcer?
- AIntact skin with redness that does not blanch
- BA wound covered with thick black eschar
- CA shallow open wound with a red-pink base and no slough
- DAn open wound with visible bone at the base
3.Easy
What is lymphoedema?
- ASwelling from a broken bone in the arm
- BFluid in the lungs from heart failure
- CInflammation of the lymph nodes in the neck and armpits from a virus
- DSwelling from poor lymph drainage, for example after node removal
4.Medium
Why is IV hydration given with cisplatin?
- ATo raise the blood pressure during treatment
- BTo protect the kidneys from damage
- CTo prevent hair loss
- DTo make the drug less effective
5.Medium
What is the main clinical difference between small and large bowel obstruction?
- ASmall bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
- BSmall bowel: marked distension only; large bowel: no pain, no vomiting and no distension at all
- CSmall bowel: no vomiting at all; large bowel: early profuse vomiting with no distension
- DThere is no clinical difference; only a CT scan can tell them apart
6.Medium
Which burn should usually be discussed with a specialist burns service even if it is small?
- AA partial-thickness burn on the hand
- BA tiny burn on the forearm with redness only
- CA small superficial sunburn on the back
- DA healed burn scar from many years ago
7.Hard
A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?
- ASerum amylase level
- BPeak expiratory flow
- CCapillary blood glucose
- DAbdominal girth
8.Hard
A patient with gallstones has a temperature of 39 °C with rigors, jaundice and right upper abdominal pain. What should the nurse suspect?
- AUncomplicated reflux
- BSimple biliary colic
- CAscending cholangitis
- DAcute hepatitis A
Answer key
- 1. D · Protein
- 2. A · Intact skin with redness that does not blanch
- 3. D · Swelling from poor lymph drainage, for example after node removal
- 4. B · To protect the kidneys from damage
- 5. A · Small bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
- 6. A · A partial-thickness burn on the hand
- 7. C · Capillary blood glucose
- 8. C · Ascending cholangitis
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