1.Easy
Which breathing pattern is typical of diabetic ketoacidosis?
- ADeep, rapid (Kussmaul) breathing
- BRapid, shallow panting with wheeze
- CCheyne–Stokes breathing
- DSlow, shallow breathing
2.Easy
A patient has a stroke affecting the left side of the brain. Where is weakness most likely to appear?
- AIn the left side of the face only
- BOn the left side of the body
- COn the right side of the body
- DIn both legs but not the arms
3.Easy
What is a common complication after a lumbar puncture?
- AA headache that is worse when sitting or standing
- BLoss of hearing in one ear
- CA rapid rise in blood glucose
- DPermanent paralysis of both legs from nerve damage
4.Medium
Why is good blood pressure control important in chronic kidney disease?
- AIt cures chronic kidney disease
- BIt raises the haemoglobin level in the blood
- CIt slows the decline in kidney function
- DIt lowers the blood glucose
5.Medium
A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?
- ACheck glucose once a day only and rest in bed until better
- BKeep taking basal insulin and check glucose and ketones more often
- CAvoid drinking fluids to reduce the vomiting
- DStop all insulin until normal eating restarts
6.Medium
A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?
- ACalcium tablets and a low-fluid diet
- BRestricting fluids in the evening only
- CVitamin C supplements and a high-meat diet
- DAllopurinol and making the urine less acidic
7.Hard
A patient has episodes of severe headache, sweating, palpitations and very high blood pressure. Which condition should be considered?
- AAddison's disease
- BPhaeochromocytoma
- CHypothyroidism
- DDiabetes insipidus
8.Hard
Which nursing care is important for a patient receiving mannitol for raised intracranial pressure?
- AStopping the fluid balance chart during treatment
- BGiving the drug orally with meals to reduce nausea
- CClamping the catheter to keep fluid in the body
- DClose monitoring of urine output, sodium and osmolality
Answer key
- 1. A · Deep, rapid (Kussmaul) breathing
- 2. C · On the right side of the body
- 3. A · A headache that is worse when sitting or standing
- 4. C · It slows the decline in kidney function
- 5. B · Keep taking basal insulin and check glucose and ketones more often
- 6. D · Allopurinol and making the urine less acidic
- 7. B · Phaeochromocytoma
- 8. D · Close monitoring of urine output, sodium and osmolality
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