1.Easy
Why are pressure garments worn after burns heal?
- ATo prevent infection of the healed skin
- BTo hide the scars from other people
- CTo reduce raised, thick scarring
- DTo keep the patient warm in winter
2.Easy
How does the pain of acute appendicitis typically progress?
- AIt starts in the left lower abdomen, then spreads to the back
- BIt starts around the umbilicus, then moves to the right lower abdomen
- CIt starts in the right shoulder, then moves to the chest
- DIt stays in the upper abdomen and eases after meals
3.Easy
What is the main aim of palliative care?
- ACuring the disease at any cost, whatever the side effects
- BOnly providing care in the last hour of life
- CReplacing all other medical treatment
- DImproving quality of life for people with serious illness
4.Medium
Why are superficial burns (redness only, like sunburn) not counted when calculating burn area for fluid resuscitation?
- AThe skin barrier is intact, so little fluid is lost
- BThey are always too small to measure accurately on a chart
- CThey cause more fluid loss than any other depth
- DThey always heal completely within one day
5.Medium
Which infection control measure is correct for a patient with C. difficile diarrhoea?
- AA single room with its own toilet, and soap-and-water handwashing
- BA shared bay, as long as alcohol gel is used after every contact
- CNo special measures once antibiotics have started
- DA face mask for the patient and visitors only
6.Medium
Which electrolyte problem can occur in severe acute pancreatitis?
- AHyperkalaemia
- BHypercalcaemia
- CHypocalcaemia
- DHypernatraemia
7.Hard
A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?
- AHigh calcium, high sodium and respiratory acidosis
- BHigh chloride, high potassium and metabolic acidosis
- CNormal electrolytes with respiratory alkalosis
- DLow chloride, low potassium and metabolic alkalosis
8.Hard
A patient with an ileostomy has had no output for 6 hours, with cramping pain, distension, nausea and a swollen stoma. What should the nurse suspect?
- AA minor skin rash around the stoma
- BNormal quiet period for a new ileostomy
- CA stoma blockage, often from food, needing review
- DDehydration from very high ileostomy output
Answer key
- 1. C · To reduce raised, thick scarring
- 2. B · It starts around the umbilicus, then moves to the right lower abdomen
- 3. D · Improving quality of life for people with serious illness
- 4. A · The skin barrier is intact, so little fluid is lost
- 5. A · A single room with its own toilet, and soap-and-water handwashing
- 6. C · Hypocalcaemia
- 7. D · Low chloride, low potassium and metabolic alkalosis
- 8. C · A stoma blockage, often from food, needing review
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