1.Easy
Which hormones does the adrenal medulla release?
- AAdrenaline and noradrenaline
- BInsulin and glucagon
- CThyroxine and calcitonin
- DCortisol and aldosterone
2.Easy
In the FAST stroke test, what does the letter A stand for?
- AAirway: is the airway open and clear?
- BArms: can both arms be raised and held there?
- CAlertness: is the person fully awake?
- DAllergies: is the person allergic to anything?
3.Easy
What is the correct first aid during a generalised tonic-clonic seizure?
- ASit the person up and give sips of water to prevent choking
- BHold the arms and legs down firmly until the jerking stops
- CCushion the head, time the seizure and put nothing in the mouth
- DPut a spoon or plastic airway between the teeth as soon as possible
4.Medium
A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?
- AA beta-agonist inhaler
- BA loop diuretic
- CA proton pump inhibitor
- DAn oral anticoagulant
5.Medium
Which action is part of an effective bowel programme after a spinal cord injury?
- AUsing strong laxatives only when the bowel has not opened for a week
- BRestricting fluids to reduce the volume of stool
- CAvoiding fibre to prevent bloating
- DA routine at the same time each day, often after a meal
6.Medium
How should peritoneal dialysis fluid be warmed before use?
- AIn a dedicated dry-heat warmer
- BIn a microwave oven
- CIn a bowl of hot tap water
- DIt should be used cold from the fridge
7.Hard
A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?
- AThe urine output, because it may stop
- BThe INR, because it may rise
- CThe potassium, because it may rise
- DThe blood glucose, because it may fall
8.Hard
Which patient on a stroke unit is most at risk of falling?
- AA patient with a TIA whose symptoms resolved completely yesterday
- BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
- CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
- DA patient with mild dysarthria who walks steadily with a frame
Answer key
- 1. A · Adrenaline and noradrenaline
- 2. B · Arms: can both arms be raised and held there?
- 3. C · Cushion the head, time the seizure and put nothing in the mouth
- 4. D · An oral anticoagulant
- 5. D · A routine at the same time each day, often after a meal
- 6. A · In a dedicated dry-heat warmer
- 7. B · The INR, because it may rise
- 8. B · A patient with a right-hemisphere stroke who is impulsive and denies having weakness
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