1.Easy
What is the main purpose of a surgical wound drain?
- ATo give IV fluids and antibiotics straight into the wound bed
- BTo remove fluid or blood that collects at the operation site
- CTo feed the patient after surgery
- DTo measure the patient's temperature
2.Easy
Which statement about hepatitis C is correct?
- AIt can be treated only with a liver transplant
- BIt is spread mainly through blood, and there is no vaccine
- CIt always clears by itself within two weeks
- DIt is spread mainly by food, and a vaccine is given to babies
3.Easy
What is pulmonary aspiration?
- ABreathing too fast after surgery
- BRemoving fluid from the chest with a needle through the ribs
- CA collapsed lung after a chest drain
- DInhaling stomach contents or other material into the lungs
4.Medium
Which burn should usually be discussed with a specialist burns service even if it is small?
- AA small superficial sunburn on the back
- BA partial-thickness burn on the hand
- CA tiny burn on the forearm with redness only
- DA healed burn scar from many years ago
5.Medium
What is the main treatment for a venous leg ulcer with an adequate arterial supply?
- ASurgery to amputate the limb
- BKeeping the leg hanging down all day
- CStrong oral antibiotics for all ulcers
- DCompression therapy
6.Medium
Why is blood lactate measured when sepsis is suspected?
- AIt measures the effect of antibiotics on the kidney
- BIt shows which bacteria are causing the infection
- CA raised level suggests poor tissue perfusion
- DIt replaces the need for blood cultures
7.Hard
A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?
- A"I'll eat soft, moist food at first and chew it well."
- B"Some difficulty swallowing can happen in the early weeks."
- C"I should eat smaller meals for a while after the operation."
- D"Fizzy drinks will help me bring up wind after meals."
8.Hard
Four patients are on a gastroenterology ward. Which should the nurse see first?
- AA patient with stable ulcerative colitis asking about diet
- BA patient with cirrhosis who is newly confused and drowsy
- CA patient with an ileostomy waiting to change the pouch
- DA patient with GORD who wants an antacid
Answer key
- 1. B · To remove fluid or blood that collects at the operation site
- 2. B · It is spread mainly through blood, and there is no vaccine
- 3. D · Inhaling stomach contents or other material into the lungs
- 4. B · A partial-thickness burn on the hand
- 5. D · Compression therapy
- 6. C · A raised level suggests poor tissue perfusion
- 7. D · "Fizzy drinks will help me bring up wind after meals."
- 8. B · A patient with cirrhosis who is newly confused and drowsy
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