1.Easy
What does dysphagia mean?
- ADifficulty speaking clearly
- BIndigestion after fatty food
- CPainful passing of urine
- DDifficulty swallowing
2.Easy
Who should press the button of a patient-controlled analgesia (PCA) pump?
- AOnly the patient
- BA relative, while the patient sleeps
- CThe nurse, at the start of each shift
- DAny visitor the patient asks
3.Easy
In TNM staging of cancer, what does "N" describe?
- AThe nerve damage caused by the tumour
- BSpread to nearby lymph nodes
- CThe new cells formed after treatment
- DThe number of tumours in the body
4.Medium
Which is correct when caring for a patient with a PICC line?
- AAvoid taking blood pressure on the arm with the line
- BUse the PICC arm for heavy lifting to keep it flexible
- CFlush the line only when it blocks
- DLeave the external length unchecked once it is placed
5.Medium
Which advice has good evidence for reducing cancer-related fatigue?
- AAvoiding all daily activities
- BDrinking several strong coffees every evening
- CComplete bed rest for the whole course of treatment
- DRegular light to moderate activity, such as walking
6.Medium
What is anticipatory nausea in chemotherapy?
- ANausea triggered by reminders of treatment before it is given
- BNausea caused only by the smell of food
- CNausea that starts about a week after each cycle and lasts for days
- DNausea caused by low blood glucose
7.Hard
A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?
- ANormal swelling after line insertion
- BAn allergy to the dressing
- CA catheter-related deep vein thrombosis
- DLymphoedema from a previous operation
8.Hard
Four hours after surgery, a catheterised patient's urine output has been 10 mL/h for two hours. Vital signs are stable. What should the nurse check first?
- AWhether the patient wants a cup of tea
- BThe time the patient last ate
- CThat the catheter and tubing are not kinked or blocked
- DYesterday's chest X-ray and blood gas results
Answer key
- 1. D · Difficulty swallowing
- 2. A · Only the patient
- 3. B · Spread to nearby lymph nodes
- 4. A · Avoid taking blood pressure on the arm with the line
- 5. D · Regular light to moderate activity, such as walking
- 6. A · Nausea triggered by reminders of treatment before it is given
- 7. C · A catheter-related deep vein thrombosis
- 8. C · That the catheter and tubing are not kinked or blocked
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