1.Easy
What does dysarthria mean?
- AUnclear speech caused by weak or poorly coordinated speech muscles
- BInability to read or write after a brain injury
- CLoss of the ability to understand spoken or written language
- DDifficulty swallowing food and drink safely
2.Easy
Which insulin is drawn up first when mixing a short-acting and an intermediate (NPH, cloudy) insulin in one syringe?
- ABoth together, after mixing them in one vial
- BThe clear short-acting insulin, then the cloudy insulin
- CEither order, because it makes no difference
- DThe cloudy insulin, then the clear short-acting insulin
3.Easy
Which common painkiller can harm the kidneys, especially in dehydration?
- AIbuprofen
- BParacetamol (acetaminophen)
- CCodeine
- DMorphine
4.Medium
A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?
- AIt may turn the urine dark yellow or brown
- BIt must be taken only once a week
- CIt should be taken on an empty stomach with milk
- DIt turns the tears and sweat bright orange
5.Medium
A patient's fistula starts to bleed at home after the needles were removed. What should they do first?
- ARaise the arm and let it bleed freely
- BPress firmly on the site with clean gauze
- CApply a tight tourniquet above the fistula
- DWait for the next dialysis session
6.Medium
A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?
- A"I will return if my headache gets steadily worse."
- B"Someone will stay with me for the first night."
- C"I will come back if I start vomiting again and again."
- D"A few drinks tonight will help me relax and sleep."
7.Hard
Which statement correctly distinguishes spinal shock from neurogenic shock?
- ASpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
- BThey are two names for exactly the same condition
- CNeurogenic shock is caused by blood loss; spinal shock is caused by infection
- DSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
8.Hard
A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?
- ASerum amylase and lipase levels
- BSerum ferritin
- CThyroid function tests
- DBlood alcohol level
Answer key
- 1. A · Unclear speech caused by weak or poorly coordinated speech muscles
- 2. B · The clear short-acting insulin, then the cloudy insulin
- 3. A · Ibuprofen
- 4. A · It may turn the urine dark yellow or brown
- 5. B · Press firmly on the site with clean gauze
- 6. D · "A few drinks tonight will help me relax and sleep."
- 7. A · Spinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
- 8. C · Thyroid function tests
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