1.Easy
What is an escharotomy?
- APlacing a skin graft on a burn
- BDraining a blister with a needle
- CRemoval of the whole limb after a deep, extensive burn
- DA cut through burned, tight skin to relieve pressure
2.Easy
Which side effect of opioids usually does not lessen with continued use?
- AConstipation
- BSedation
- CItching
- DNausea and vomiting
3.Easy
Which advice helps a patient with oral mucositis from chemotherapy?
- AAn alcohol-based mouthwash used several times a day to disinfect
- BGentle care with a soft toothbrush and saline mouth rinses
- CStopping all mouth care until the soreness settles
- DHot, spicy food to stimulate the flow of saliva
4.Medium
Which statement about fatigue during radiotherapy is correct?
- AIt is caused by the patient becoming radioactive
- BIt means the radiotherapy has failed
- CIt often builds during the course and can last for weeks
- DIt occurs only after the first session and then disappears completely
5.Medium
Why is the Lund and Browder chart preferred to the rule of nines for children?
- AIt is faster to use than any other method of estimation
- BIt counts superficial burns as well
- CIt adjusts for body proportions that change with age
- DIt is used only for burns of the hands
6.Medium
Which is a recognised side effect of ondansetron?
- AHearing loss
- BConstipation
- CSevere hypoglycaemia
- DHair loss
7.Hard
A patient with a leg ulcer has an ABPI of 0.5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?
- AApply the strongest compression to speed healing
- BWithhold strong compression and discuss urgent vascular referral
- CApply compression and elevate the leg above the heart all day
- DApply compression but only at night
8.Hard
After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?
- AHypernatraemia from too much salt
- BHyponatraemia from hypotonic fluids
- CHypoglycaemia from the glucose
- DNormal confusion after any anaesthetic
Answer key
- 1. D · A cut through burned, tight skin to relieve pressure
- 2. A · Constipation
- 3. B · Gentle care with a soft toothbrush and saline mouth rinses
- 4. C · It often builds during the course and can last for weeks
- 5. C · It adjusts for body proportions that change with age
- 6. B · Constipation
- 7. B · Withhold strong compression and discuss urgent vascular referral
- 8. B · Hyponatraemia from hypotonic fluids
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