1.Easy
What is exophthalmos?
- ABulging of the eyes
- BLoss of the outer eyebrows
- CYellowing of the eyes
- DDrooping of one eyelid
2.Easy
A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?
- AHeat rash from a high temperature
- BA simple viral skin rash
- CMeningococcal septicaemia
- DAn allergic reaction to soap
3.Easy
Which type of insulin is given intravenously, for example in an insulin infusion?
- ASoluble (regular) short-acting insulin
- BIntermediate-acting NPH (isophane) insulin
- CPremixed biphasic insulin
- DLong-acting insulin glargine
4.Medium
Which nursing action helps prevent a rise in intracranial pressure?
- ADoing all care and suctioning in one long session
- BLying the patient flat with the hips bent sharply
- CEncouraging hard coughing every hour
- DPreventing constipation and spacing out care
5.Medium
A kidney transplant recipient asks about travel vaccines. Which statement is correct?
- AVaccines will cause the kidney to be rejected
- BAll vaccines are completely safe after a transplant
- COnly live vaccines are effective after a transplant
- DLive vaccines are usually avoided
6.Medium
Which symptoms are typical of hypokalaemia?
- AMuscle weakness, cramps and palpitations
- BExcess thirst and very high glucose
- CTingling lips and facial twitching
- DHeat intolerance and weight loss
7.Hard
A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?
- AThe patient may not be absorbing their immunosuppressants
- BThe kidney will start to produce far too much urine
- CThe tablets will make the vomiting stop
- DVomiting proves that rejection has already happened
8.Hard
A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?
- AA migraine aura, needing pain relief
- BDry eyes, needing lubricating drops
- CA bleed into the eye from retinopathy, needing urgent review
- DNormal ageing of the lens, needing new glasses
Answer key
- 1. A · Bulging of the eyes
- 2. C · Meningococcal septicaemia
- 3. A · Soluble (regular) short-acting insulin
- 4. D · Preventing constipation and spacing out care
- 5. D · Live vaccines are usually avoided
- 6. A · Muscle weakness, cramps and palpitations
- 7. A · The patient may not be absorbing their immunosuppressants
- 8. C · A bleed into the eye from retinopathy, needing urgent review
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