1.Easy
Which hormones are released from the posterior pituitary gland?
- AADH (vasopressin) and oxytocin
- BGrowth hormone and prolactin
- CTSH and ACTH
- DInsulin and cortisol
2.Easy
Which fluid is usually given first in diabetic ketoacidosis?
- AIV 0.9% sodium chloride
- BOral sugary drinks and water
- CIV sterile water for injection
- DIV 50% glucose solution
3.Easy
Which type of stroke is the most common?
- AIschaemic stroke from a blocked artery
- BSubarachnoid haemorrhage from an aneurysm
- CVenous sinus thrombosis in the brain
- DHaemorrhagic stroke from a burst artery
4.Medium
A week after thyroid surgery, a patient's voice is still hoarse and weak. Which complication is most likely?
- AAn allergic reaction to the adhesive dressing tape
- BDamage to a recurrent laryngeal nerve
- CLow calcium from parathyroid injury
- DA thyroid storm caused by surgery
5.Medium
A kidney transplant recipient asks about travel vaccines. Which statement is correct?
- AAll vaccines are completely safe after a transplant
- BVaccines will cause the kidney to be rejected
- COnly live vaccines are effective after a transplant
- DLive vaccines are usually avoided
6.Medium
A patient wakes up with stroke symptoms. They went to bed well at 23:00 and woke at 06:30. Which time is used as the time of onset?
- A06:30, when the symptoms were first noticed
- B23:00, when they were last known to be well
- CThe time the CT scan was performed
- DThe time of arrival at the hospital
7.Hard
Which task for a patient with a urinary catheter can the nurse delegate to a healthcare assistant (nursing assistant)?
- ATeaching self-catheterisation for the first time
- BAssessing a patient whose irrigation is not draining
- CEmptying the drainage bag and recording the volume
- DDeciding whether the catheter can be removed
8.Hard
Which nursing care is important for a patient receiving mannitol for raised intracranial pressure?
- AStopping the fluid balance chart during treatment
- BClose monitoring of urine output, sodium and osmolality
- CClamping the catheter to keep fluid in the body
- DGiving the drug orally with meals to reduce nausea
Answer key
- 1. A · ADH (vasopressin) and oxytocin
- 2. A · IV 0.9% sodium chloride
- 3. A · Ischaemic stroke from a blocked artery
- 4. B · Damage to a recurrent laryngeal nerve
- 5. D · Live vaccines are usually avoided
- 6. B · 23:00, when they were last known to be well
- 7. C · Emptying the drainage bag and recording the volume
- 8. B · Close monitoring of urine output, sodium and osmolality
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