1.Easy
What is a skin graft donor site?
- AA scar that has fully matured
- BA blood vessel used to give fluids
- CA wound where healthy skin was taken for grafting
- DThe area where the graft was placed on the burn wound
2.Easy
Using the rule of nines in an adult, what percentage is one whole leg?
- A4.5%
- B18%
- C27%
- D9%
3.Easy
Which lifestyle advice helps reduce night-time reflux symptoms?
- ASleep flat on several pillows placed under the knees
- BNo food for 3 hours before bed, with the head of the bed raised
- CHave the largest meal of the day just before going to bed to aid sleep
- DDrink a large glass of fizzy water before lying down
4.Medium
Which statement about multimodal analgesia is correct?
- ASeveral different opioids are combined for a stronger overall effect
- BIt is a method used only for long-term chronic pain
- COnly one analgesic should ever be given at any one time
- DDrugs with different actions are combined to reduce opioid needs
5.Medium
Why is a pregnancy test often done before surgery in women who could be pregnant?
- AIt is needed to calculate the anaesthetic drug dose
- BPregnant women cannot sign consent forms
- CAnaesthesia, drugs and some tests may harm a fetus
- DPregnancy always makes surgery impossible
6.Medium
Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?
- AMild tiredness after a busy day
- BSlight hair thinning over months
- CA small bruise after a knock
- DNew diarrhoea or abdominal pain
7.Hard
A nurse has a needlestick injury after taking blood from a patient with hepatitis B. What should the nurse do first?
- AScrub the area hard with a nail brush and alcohol
- BSuck the wound to remove as much of the blood as possible
- CFinish the shift and report it the next day
- DWash the site with soap and running water, without scrubbing
8.Hard
During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?
- ARadiation oesophagitis; analgesia, soft food and nutrition support
- BNormal ageing; no action needed
- CA stomach ulcer; give an antacid after meals only
- DA heart attack; give aspirin and arrange an ECG
Answer key
- 1. C · A wound where healthy skin was taken for grafting
- 2. B · 18%
- 3. B · No food for 3 hours before bed, with the head of the bed raised
- 4. D · Drugs with different actions are combined to reduce opioid needs
- 5. C · Anaesthesia, drugs and some tests may harm a fetus
- 6. D · New diarrhoea or abdominal pain
- 7. D · Wash the site with soap and running water, without scrubbing
- 8. A · Radiation oesophagitis; analgesia, soft food and nutrition support
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