1.Easy
Which two causes account for most cases of acute pancreatitis?
- AGallstones and alcohol
- BHigh fibre and dehydration
- CViral colds and stress
- DSmoking and obesity
2.Easy
What is the main serious risk of paracetamol (acetaminophen) overdose?
- ARespiratory depression
- BStomach bleeding
- CLiver damage
- DHearing loss
3.Easy
Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?
- AHeat, light and humidity
- BSpeed, noise and lighting
- CGloves, gown and mask
- DTime, distance and shielding
4.Medium
Why is the Lund and Browder chart preferred to the rule of nines for children?
- AIt adjusts for body proportions that change with age
- BIt is used only for burns of the hands
- CIt is faster to use than any other method of estimation
- DIt counts superficial burns as well
5.Medium
Which measures help prevent tumour lysis syndrome in high-risk patients?
- AIV hydration with allopurinol or rasburicase
- BCalcium and phosphate supplements daily
- CStopping all IV and oral fluids during the chemotherapy
- DFluid restriction with potassium tablets
6.Medium
Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?
- AOnly clear fluids for several weeks
- BNo food at all until the confusion settles
- CA very low-protein diet for the rest of their life to lower ammonia
- DNormal protein and enough calories, with a late-evening snack
7.Hard
A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?
- AReassure that diarrhoea is normal and harmless
- BEscalate urgently, as immune-related colitis is likely
- CGive loperamide and review next week
- DAdvise eating more fibre and fruit to firm up the stools
8.Hard
A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?
- ATake it only after the operation is finished
- BUsually continue it with a sip of water, unless told otherwise
- CTake a double dose to protect the heart
- DStop it one week before any operation
Answer key
- 1. A · Gallstones and alcohol
- 2. C · Liver damage
- 3. D · Time, distance and shielding
- 4. A · It adjusts for body proportions that change with age
- 5. A · IV hydration with allopurinol or rasburicase
- 6. D · Normal protein and enough calories, with a late-evening snack
- 7. B · Escalate urgently, as immune-related colitis is likely
- 8. B · Usually continue it with a sip of water, unless told otherwise
Full step-by-step solutions: practise this topic on examproblems.com.