1.Easy
In widely used guidelines, which core temperature defines perioperative hypothermia?
- ABelow 36.0 °C
- BBelow 32.0 °C
- CBelow 37.5 °C
- DBelow 38.0 °C
2.Easy
What is atelectasis?
- AA blood clot in a leg vein
- BCollapse of small air sacs in part of the lung
- CInfection of the surgical wound
- DSwelling of both ankles caused by lying in bed after surgery
3.Easy
Which bowel sounds are typical early in a mechanical small bowel obstruction?
- AHigh-pitched, tinkling sounds
- BA pleural friction rub
- CCompletely absent sounds from the start
- DQuiet, normal gurgling sounds
4.Medium
Why are antiemetics usually given before chemotherapy starts?
- APreventing nausea works better than treating it later
- BAntiemetics make the chemotherapy work better
- CThey stop the chemotherapy from causing hair loss and mouth sores
- DThey cannot be given once nausea has started
5.Medium
Why are patients with diabetes often placed early on the operating list?
- ABecause their wounds heal faster in the morning
- BBecause they need to go home before midday
- CBecause their surgery always takes longer than others
- DTo shorten fasting and reduce swings in blood glucose
6.Medium
Which practice is correct when giving parenteral nutrition through a central line?
- ALet the bag hang at room temperature for several days
- BGive other IV drugs through the same lumen to save time
- CUse a dedicated lumen and strict aseptic technique
- DDisconnect and reconnect the line without cleaning the hub
7.Hard
Which history should most alert the nurse to a possible latex allergy before surgery?
- AA rash after taking amoxicillin as a child, with a family history of asthma
- BFeeling sick after eating shellfish once
- CHay fever every spring since childhood
- DItching with bananas, avocado and kiwi, and many operations
8.Hard
A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?
- ADeceptive placebos are unethical and do not show pain is "fake"
- BIt is acceptable if a senior nurse gives the saline
- CIt should be done only for patients with chronic pain
- DIt is a good idea, as long as the patient is not told about it afterwards
Answer key
- 1. A · Below 36.0 °C
- 2. B · Collapse of small air sacs in part of the lung
- 3. A · High-pitched, tinkling sounds
- 4. A · Preventing nausea works better than treating it later
- 5. D · To shorten fasting and reduce swings in blood glucose
- 6. C · Use a dedicated lumen and strict aseptic technique
- 7. D · Itching with bananas, avocado and kiwi, and many operations
- 8. A · Deceptive placebos are unethical and do not show pain is "fake"
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