1.Easy
What is stress urinary incontinence?
- ABeing unable to reach the toilet in time due to poor mobility
- BLeaking urine when coughing, sneezing or lifting
- CConstant dribbling from an overfull bladder
- DLeaking after a sudden, strong urge to pass urine
2.Easy
Which type of stroke is the most common?
- ASubarachnoid haemorrhage from an aneurysm
- BHaemorrhagic stroke from a burst artery
- CVenous sinus thrombosis in the brain
- DIschaemic stroke from a blocked artery
3.Easy
Which symptoms are typical of cystitis (a bladder infection)?
- ABurning on passing urine, frequency and urgency
- BSwelling of the ankles and frothy urine
- CHigh fever, shaking rigors and pain in the loin
- DPainless red urine with clots
4.Medium
After a thyroidectomy, why are suture or clip removers often kept at the bedside?
- AA neck haematoma can compress the airway and may need release
- BThey are used to adjust the drain when it stops working
- CThey are needed to take blood from the neck veins
- DThe sutures must be removed on the first evening after surgery
5.Medium
What does a positive pronator drift test show?
- AA normal response in older adults
- BSubtle weakness in one arm
- CLoss of hearing on one side
- DWeakness of the eye muscles
6.Medium
Which lifestyle advice best helps a patient with epilepsy reduce their seizures?
- ADrink coffee in the evening to stay alert
- BAvoid all physical exercise and stay indoors
- CSkip a dose on days without any warning signs
- DKeep regular sleep and take every dose on time
7.Hard
A patient with a stroke and right-sided weakness is ready to transfer from bed to chair. Which approach is safest?
- APull the patient up by the right shoulder and wrist
- BPlace the chair on the right and lift by the weak arm
- CPlace the chair on the left side and pivot towards it
- DAsk the patient to stand alone and walk to the chair
8.Hard
Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?
- AHypoactive delirium
- BSimple low mood about being in hospital
- CNormal tiredness after an operation
- DThe start of Alzheimer's disease
Answer key
- 1. B · Leaking urine when coughing, sneezing or lifting
- 2. D · Ischaemic stroke from a blocked artery
- 3. A · Burning on passing urine, frequency and urgency
- 4. A · A neck haematoma can compress the airway and may need release
- 5. B · Subtle weakness in one arm
- 6. D · Keep regular sleep and take every dose on time
- 7. C · Place the chair on the left side and pivot towards it
- 8. A · Hypoactive delirium
Full step-by-step solutions: practise this topic on examproblems.com.