1.Easy
Which drug reverses the effects of opioids?
- AProtamine
- BFlumazenil
- CVitamin K
- DNaloxone
2.Easy
What is lymphoedema?
- ASwelling from a broken bone in the arm
- BInflammation of the lymph nodes in the neck and armpits from a virus
- CSwelling from poor lymph drainage, for example after node removal
- DFluid in the lungs from heart failure
3.Easy
What is a skin graft donor site?
- AA blood vessel used to give fluids
- BA scar that has fully matured
- CThe area where the graft was placed on the burn wound
- DA wound where healthy skin was taken for grafting
4.Medium
Why is IV albumin often given after a large-volume paracentesis?
- ATo prevent low blood pressure and kidney injury from fluid shifts
- BTo treat infection in the ascitic fluid
- CTo replace the clotting factors and platelets lost in the drained fluid
- DTo raise the blood glucose after the procedure
5.Medium
Which dressing is generally suitable for a wound with heavy exudate?
- AAn alginate or foam
- BDry gauze changed weekly
- CA hydrogel sheet
- DA thin transparent film
6.Medium
Why is it important to prevent perioperative hypothermia?
- AIt increases bleeding, wound infection and heart complications
- BIt makes patients wake up from the anaesthetic too quickly
- CIt lowers the risk of pain after surgery
- DIt reduces the amount of anaesthetic needed, which is unsafe
7.Hard
A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?
- ASupport the patient's decision and help the team talk with the family
- BTell the patient that stopping is not allowed
- CContinue treatment because the family has asked for it
- DAsk the family to sign a new consent form
8.Hard
Which preoperative task can a registered nurse usually delegate to a healthcare assistant (nursing assistant)?
- ADeciding whether abnormal results need reporting
- BTeaching the patient how to use a PCA pump
- CRecording baseline vital signs
- DAssessing the patient's understanding of the surgery
Answer key
- 1. D · Naloxone
- 2. C · Swelling from poor lymph drainage, for example after node removal
- 3. D · A wound where healthy skin was taken for grafting
- 4. A · To prevent low blood pressure and kidney injury from fluid shifts
- 5. A · An alginate or foam
- 6. A · It increases bleeding, wound infection and heart complications
- 7. A · Support the patient's decision and help the team talk with the family
- 8. C · Recording baseline vital signs
Full step-by-step solutions: practise this topic on examproblems.com.