1.Easy
What is the Braden scale (or a similar tool such as Waterlow) used for?
- AMeasuring a patient's level of consciousness
- BGrading the depth of a burn wound before dressing it
- CScoring the severity of nausea
- DAssessing the risk of developing pressure ulcers
2.Easy
Why does jaundice develop in liver disease?
- ABilirubin builds up as the liver cannot clear it
- BThe liver makes too many red blood cells at once
- CYellow pigment from food is stored in the skin
- DThe kidneys make too much urea for the body
3.Easy
In widely used guidelines, which core temperature defines perioperative hypothermia?
- ABelow 36.0 °C
- BBelow 38.0 °C
- CBelow 37.5 °C
- DBelow 32.0 °C
4.Medium
Which dressing is generally suitable for a wound with heavy exudate?
- AA hydrogel sheet
- BDry gauze changed weekly
- CA thin transparent film
- DAn alginate or foam
5.Medium
Why is a pregnancy test often done before surgery in women who could be pregnant?
- APregnant women cannot sign consent forms
- BAnaesthesia, drugs and some tests may harm a fetus
- CIt is needed to calculate the anaesthetic drug dose
- DPregnancy always makes surgery impossible
6.Medium
What is the first priority when a patient arrives in recovery after a general anaesthetic?
- AThe drug history
- BThe wound dressing and drains
- CA drink of water
- DAirway and breathing
7.Hard
After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?
- ARaise the arm as high as possible and give a further dose of opioid
- BReassure the patient that this pain is expected
- CApply ice and a tighter bandage to reduce the swelling
- DLoosen any tight dressing, keep the arm at heart level and escalate
8.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?
- AAbdominal girth
- BSerum amylase level
- CCapillary blood glucose
- DPeak expiratory flow
Answer key
- 1. D · Assessing the risk of developing pressure ulcers
- 2. A · Bilirubin builds up as the liver cannot clear it
- 3. A · Below 36.0 °C
- 4. D · An alginate or foam
- 5. B · Anaesthesia, drugs and some tests may harm a fetus
- 6. D · Airway and breathing
- 7. D · Loosen any tight dressing, keep the arm at heart level and escalate
- 8. C · Capillary blood glucose
Full step-by-step solutions: practise this topic on examproblems.com.