1.Easy
What is breakthrough pain?
- AA flare of pain despite regular background analgesia
- BPain felt only during the operation
- CPain that has gone away completely with regular treatment
- DPain caused only by an allergy to analgesics
2.Easy
Why are pressure garments worn after burns heal?
- ATo reduce raised, thick scarring
- BTo prevent infection of the healed skin
- CTo keep the patient warm in winter
- DTo hide the scars from other people
3.Easy
When should an ostomy pouch usually be emptied?
- AOnly when it starts to leak
- BOnce a day, at the same time
- CWhen it is one third to half full
- DOnly when it is completely full to the top
4.Medium
Which is a common side effect of opioids, especially when given by epidural or spinal route?
- AHair growth
- BItching
- CIncreased hunger
- DRinging in the ears
5.Medium
What are anticipatory ("just in case") medicines at the end of life usually prescribed for?
- AWeight gain and appetite stimulation
- BPain, nausea, agitation and respiratory secretions
- CHigh blood pressure, high cholesterol and diabetes
- DInfection prevention and vaccination
6.Medium
Which lung problem is a known toxicity of bleomycin?
- APneumothorax from coughing
- BPulmonary fibrosis
- CLung cancer within weeks
- DAsthma from pollen
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?
- ALymphoedema from a previous operation
- BA catheter-related deep vein thrombosis
- CAn allergy to the dressing
- DNormal swelling after line insertion
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?
- ASevere hyperkalaemia
- BAcute urinary retention
- CRebound hypoglycaemia
- DRaised intracranial pressure
Answer key
- 1. A · A flare of pain despite regular background analgesia
- 2. A · To reduce raised, thick scarring
- 3. C · When it is one third to half full
- 4. B · Itching
- 5. B · Pain, nausea, agitation and respiratory secretions
- 6. B · Pulmonary fibrosis
- 7. B · A catheter-related deep vein thrombosis
- 8. C · Rebound hypoglycaemia
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