1.Easy
What is a parastomal hernia?
- AA bulge of bowel through the abdominal wall next to a stoma
- BA sore, red area of skin under the stoma bag from leaking output
- CA narrowing of the stoma opening
- DA stoma that has sunk below the level of the skin
2.Easy
Which finding is typical of a perforated peptic ulcer?
- APainless bright red bleeding from the rectum over several days
- BA soft, non-tender abdomen with loud, frequent bowel sounds
- CSudden severe abdominal pain with a rigid, board-like abdomen
- DSlow onset of mild pain relieved fully by eating
3.Easy
What is the MUST tool used for?
- AAssessing the risk of falls
- BScreening adults for malnutrition risk
- CMeasuring pain in confused patients
- DScoring the severity of a burn injury
4.Medium
In the SBAR communication tool, what belongs under "A"?
- AThe patient's admission date only
- BThe address and phone number of the patient's next of kin
- CThe nurse's assessment of what the problem is
- DA list of the patient's allergies only
5.Medium
Which food advice reduces the risk of blockage with a new ileostomy?
- ASwallow food quickly without chewing much
- BChew well, and bring in fibrous foods slowly
- CDrink very little fluid to keep the output thick
- DEat plenty of nuts and seeds from day one
6.Medium
Which PPE is usually recommended when giving cytotoxic chemotherapy?
- ANo PPE, because the infusion bag is sealed
- BOrdinary cotton gloves and a plastic apron
- CA paper surgical mask but no gloves
- DChemo-tested gloves and impermeable gown
7.Hard
An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?
- AAn arterial ulcer caused by poor circulation
- BA full-thickness burn
- CA category 4 pressure ulcer over the sacrum
- DIncontinence-associated dermatitis
8.Hard
A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?
- ACall for urgent anaesthetic help, as the airway is swelling
- BEncourage the patient to rest the voice and reassess tomorrow
- CGive a warm drink to soothe the throat
- DLay the patient flat to help them sleep
Answer key
- 1. A · A bulge of bowel through the abdominal wall next to a stoma
- 2. C · Sudden severe abdominal pain with a rigid, board-like abdomen
- 3. B · Screening adults for malnutrition risk
- 4. C · The nurse's assessment of what the problem is
- 5. B · Chew well, and bring in fibrous foods slowly
- 6. D · Chemo-tested gloves and impermeable gown
- 7. D · Incontinence-associated dermatitis
- 8. A · Call for urgent anaesthetic help, as the airway is swelling
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