1.Easy
What is brachytherapy?
- ARadiotherapy given by a machine from outside the body
- BSurgery to remove a tumour through a small incision
- CRadiotherapy from a sealed source placed in or next to the tumour
- DChemotherapy given slowly into a vein over several hours each day
2.Easy
Radiotherapy to the pelvis commonly causes which side effects?
- ACough and breathlessness
- BDiarrhoea and frequent, painful passing of urine
- CDry mouth and changes in taste for many months afterwards
- DHair loss from the scalp
3.Easy
Which nutrient is especially important for wound healing?
- ASalt
- BCaffeine
- CAlcohol
- DProtein
4.Medium
After a spinal anaesthetic, which nursing check is particularly important?
- AReturn of leg sensation and movement, and passing urine
- BBlood glucose every 15 minutes overnight
- CPeak flow before and after each meal
- DPupil reaction every five minutes for the next full day
5.Medium
Which advice has good evidence for reducing cancer-related fatigue?
- AComplete bed rest for the whole course of treatment
- BRegular light to moderate activity, such as walking
- CDrinking several strong coffees every evening
- DAvoiding all daily activities
6.Medium
Which description fits a category (stage) 4 pressure ulcer?
- AFull-thickness loss with exposed bone, tendon or muscle
- BIntact skin with redness that does not blanch
- CA shallow wound into the dermis only
- DA blister filled with clear fluid over the heel or sacrum
7.Hard
A patient on an opioid PCA receives oxygen by mask. SpO₂ is 97% and the respiratory rate 11/min, but they are now hard to rouse. What should the nurse conclude?
- AThe patient is simply sleeping well, as the pain is controlled
- BOpioid toxicity is likely; the oxygen may be masking hypoventilation
- CThe PCA dose should be increased to keep the patient comfortable
- DThe patient is safe, because the oxygen saturation is normal
8.Hard
A patient is splashed in the eye with an alkaline cleaning product. What is the first action?
- AAdd a few drops of vinegar to neutralise it
- BIrrigate the eye at once with large volumes of water or saline
- CCover the eye with a pad and wait for a doctor to examine it first
- DAsk the patient to rub the eye to clear it
Answer key
- 1. C · Radiotherapy from a sealed source placed in or next to the tumour
- 2. B · Diarrhoea and frequent, painful passing of urine
- 3. D · Protein
- 4. A · Return of leg sensation and movement, and passing urine
- 5. B · Regular light to moderate activity, such as walking
- 6. A · Full-thickness loss with exposed bone, tendon or muscle
- 7. B · Opioid toxicity is likely; the oxygen may be masking hypoventilation
- 8. B · Irrigate the eye at once with large volumes of water or saline
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