1.Easy
What is haematochezia?
- AVomiting of fresh red blood
- BBlack, tarry, foul-smelling stools
- CCoughing up bright red, blood-stained sputum
- DFresh red blood passed from the rectum
2.Easy
Which feature is typical of ulcerative colitis?
- AContinuous inflammation starting at the rectum
- BInflammation of the full thickness of the small bowel
- CInflammation limited to the oesophagus
- DPatchy inflammation anywhere from mouth to anus
3.Easy
What is atelectasis?
- ASwelling of both ankles caused by lying in bed after surgery
- BInfection of the surgical wound
- CA blood clot in a leg vein
- DCollapse of small air sacs in part of the lung
4.Medium
A patient on enteral feeding develops diarrhoea. What should the nurse review first?
- AThe medicine chart, including laxatives and antibiotics
- BThe colour of the feeding bag label
- CThe patient's mobility aids and walking distance
- DThe patient's eye drops and skin creams
5.Medium
What is the first priority when a patient arrives in recovery after a general anaesthetic?
- AThe drug history
- BA drink of water
- CAirway and breathing
- DThe wound dressing and drains
6.Medium
After a percutaneous liver biopsy, how is the patient usually positioned at first?
- AOn the right side, to press on the puncture site
- BProne, with the head lower than the feet
- COn the left side, to drain the liver
- DSitting upright, with the legs over the edge of the bed
7.Hard
A patient with cirrhosis and ascites has a new fever, abdominal tenderness and worsening confusion. Which complication should be suspected?
- ASimple constipation
- BSpontaneous bacterial peritonitis
- CAcute pancreatitis
- DNormal progression of ascites
8.Hard
A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?
- AAsk the patient to try to vomit to empty the stomach
- BInform the anaesthetist, as surgery may be delayed
- CSay nothing, since toast is a light food
- DGive a large drink to wash the food through
Answer key
- 1. D · Fresh red blood passed from the rectum
- 2. A · Continuous inflammation starting at the rectum
- 3. D · Collapse of small air sacs in part of the lung
- 4. A · The medicine chart, including laxatives and antibiotics
- 5. C · Airway and breathing
- 6. A · On the right side, to press on the puncture site
- 7. B · Spontaneous bacterial peritonitis
- 8. B · Inform the anaesthetist, as surgery may be delayed
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