1.Easy
What is a volvulus?
- AA tear in the lining of the anus
- BA twist of a loop of bowel around itself
- CAn infection of the appendix
- DA pouch in the wall of the colon that fills with stool
2.Easy
What is the main purpose of a surgical wound drain?
- ATo feed the patient after surgery
- BTo measure the patient's temperature
- CTo give IV fluids and antibiotics straight into the wound bed
- DTo remove fluid or blood that collects at the operation site
3.Easy
What is dyspepsia?
- AUpper abdominal discomfort, often called indigestion
- BDifficulty swallowing solid food and tablets
- CVomiting of blood after a large meal
- DPain in the rectum on opening the bowels
4.Medium
Which practice is correct when giving parenteral nutrition through a central line?
- ALet the bag hang at room temperature for several days
- BUse a dedicated lumen and strict aseptic technique
- CDisconnect and reconnect the line without cleaning the hub
- DGive other IV drugs through the same lumen to save time
5.Medium
Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?
- AThe patient's hand and forearm
- BThe patient's thumbnail
- CThe patient's palm including the fingers
- DThe examiner's palm including the fingers
6.Medium
Which is correct when caring for a patient with a PICC line?
- ALeave the external length unchecked once it is placed
- BFlush the line only when it blocks
- CUse the PICC arm for heavy lifting to keep it flexible
- DAvoid taking blood pressure on the arm with the line
7.Hard
A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?
- AIsolate the patient and send a stool sample for testing
- BWait two days to see if the diarrhoea settles
- CMove the patient to a bay with other patients to watch them closely
- DGive loperamide after each loose stool and continue as usual
8.Hard
A bag of parenteral nutrition runs out and the next one will not arrive for several hours. Which risk should the nurse anticipate?
- ARaised intracranial pressure
- BRebound hypoglycaemia
- CAcute urinary retention
- DSevere hyperkalaemia
Answer key
- 1. B · A twist of a loop of bowel around itself
- 2. D · To remove fluid or blood that collects at the operation site
- 3. A · Upper abdominal discomfort, often called indigestion
- 4. B · Use a dedicated lumen and strict aseptic technique
- 5. C · The patient's palm including the fingers
- 6. D · Avoid taking blood pressure on the arm with the line
- 7. A · Isolate the patient and send a stool sample for testing
- 8. B · Rebound hypoglycaemia
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