1.Easy
What is portal hypertension?
- AHigh pressure inside the skull
- BRaised pressure in the portal venous system to the liver
- CHigh blood pressure in the arteries of the arms and legs
- DRaised pressure in the lungs from heart failure
2.Easy
Why is a feeding tube flushed with water before and after giving medicines?
- ATo check that the patient is not thirsty
- BTo clean the stomach before the next meal
- CTo keep it clear and stop drugs mixing with feed
- DTo warm the tube so it is more comfortable
3.Easy
Which two causes account for most cases of acute pancreatitis?
- AHigh fibre and dehydration
- BViral colds and stress
- CSmoking and obesity
- DGallstones and alcohol
4.Medium
What is the most important safety point about misoprostol?
- AIt causes severe constipation in most patients
- BIt must be given only by deep intramuscular injection
- CIt can cause miscarriage and must not be used in pregnancy
- DIt strongly raises blood glucose in people with diabetes
5.Medium
How should pancreatic enzyme replacement capsules usually be taken?
- AOnly on days with abdominal pain
- BOne hour after meals, on an empty stomach
- COnce a day at bedtime
- DWith every meal and snack
6.Medium
Why are accurate fluid balance charts kept after major surgery?
- ATo detect dehydration, fluid overload or kidney problems early
- BTo record when visitors come and go
- CTo check how far the patient has walked and how often they get out of bed
- DTo decide which meal the patient will have next
7.Hard
Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?
- AOesophageal perforation
- BAn allergic reaction to the sedative
- CSimple reflux after the dilatation
- DNormal discomfort after the procedure
8.Hard
A patient has an implanted port for chemotherapy. Which needle is used to access it?
- AA non-coring (Huber) needle
- BA standard hollow needle used for venepuncture
- CA wide-bore cannula with a steel stylet
- DAn intramuscular injection needle
Answer key
- 1. B · Raised pressure in the portal venous system to the liver
- 2. C · To keep it clear and stop drugs mixing with feed
- 3. D · Gallstones and alcohol
- 4. C · It can cause miscarriage and must not be used in pregnancy
- 5. D · With every meal and snack
- 6. A · To detect dehydration, fluid overload or kidney problems early
- 7. A · Oesophageal perforation
- 8. A · A non-coring (Huber) needle
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