1.Easy
What does the urine specific gravity tell the nurse?
- AWhether the urine contains bacteria
- BHow concentrated the urine is
- CHow much glucose is in the blood
- DHow much protein the urine contains
2.Easy
Which heart rhythm greatly increases the risk of an embolic stroke?
- AFirst-degree heart block
- BSinus bradycardia
- CAtrial fibrillation
- DSinus arrhythmia
3.Easy
Which symptoms are typical of benign prostatic hyperplasia?
- AA weak stream, hesitancy and passing urine at night
- BBurning pain on passing urine with a high fever
- CPainless red urine with clots and weight loss
- DLeaking urine only when coughing or laughing
4.Medium
Why is levodopa combined with carbidopa (or benserazide)?
- ATo make levodopa cross into the brain more slowly and evenly
- BTo add a separate effect that reduces the resting tremor directly
- CTo stop levodopa being converted to dopamine outside the brain
- DTo prevent tolerance from developing to levodopa over time
5.Medium
What is the dexamethasone suppression test used for?
- ATo diagnose diabetes insipidus
- BTo help diagnose Cushing's syndrome
- CTo measure kidney function
- DTo check thyroid function
6.Medium
Which statement about storing insulin is correct?
- AUnopened insulin goes in the fridge and must never be frozen
- BAll insulin must be stored in the freezer to keep it stable
- CInsulin should be kept on a sunny windowsill to stay warm
- DInsulin that has been frozen can be used once it has thawed
7.Hard
A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?
- A"I will hold my urine for as long as I can."
- B"I will drink enough fluids during the day."
- C"I will pass urine soon after sex."
- D"I will wipe from front to back."
8.Hard
A patient with a new arm fistula says their hand on that side is cold, pale and painful, especially during dialysis. What is the concern?
- ANormal healing that needs no action
- BSteal syndrome, which needs urgent review
- CFluid overload in the arm
- DAn allergic reaction to the dressing on the arm
Answer key
- 1. B · How concentrated the urine is
- 2. C · Atrial fibrillation
- 3. A · A weak stream, hesitancy and passing urine at night
- 4. C · To stop levodopa being converted to dopamine outside the brain
- 5. B · To help diagnose Cushing's syndrome
- 6. A · Unopened insulin goes in the fridge and must never be frozen
- 7. A · "I will hold my urine for as long as I can."
- 8. B · Steal syndrome, which needs urgent review
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