1.Easy
What does the term epilepsy mean?
- AA tendency to have recurrent seizures that are not provoked
- BAny brief loss of consciousness, such as fainting
- CA single seizure caused by a high fever
- DA seizure caused only by low blood sugar
2.Easy
What is a suprapubic catheter?
- AA tube placed into the kidney through the back
- BA small catheter used only once and then removed
- CA catheter passed into the bladder through the urethra
- DA catheter put into the bladder through the abdomen
3.Easy
Which description best fits an absence seizure?
- AStiffening and then jerking of all four limbs for several minutes
- BJerking that starts in one hand and spreads up the arm
- CA sudden loss of muscle tone that makes the person fall
- DA brief staring spell of a few seconds with a quick return to normal
4.Medium
Before checking a capillary glucose, why should the patient wash their hands with soap and water?
- AWashing prevents all infection from the lancet
- BSugar on the skin can give a falsely high reading
- CSoap makes the blood flow faster from the finger
- DWashing lowers the glucose in the blood
5.Medium
A patient has just started levetiracetam. Which side effect should the nurse teach them to report?
- AA persistent dry cough at night
- BSwelling and overgrowth of the gums around the teeth
- CChanges in mood, such as irritability, low mood or anger
- DOrange discoloration of the urine
6.Medium
A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?
- AThere is no interaction between these two medicines
- BThe pill makes carbamazepine toxic, so she must stop the pill
- CShe should take both at the same time so they are absorbed together
- DCarbamazepine can make the pill less effective, so other contraception is needed
7.Hard
A patient in thyroid storm has a temperature of 40 °C (104 °F). Which measure for the fever is usually avoided?
- AAspirin
- BCooling blankets
- CParacetamol (acetaminophen)
- DFanning with cool air
8.Hard
A haemodialysis patient asks why fluid between sessions must be limited. Which explanation is correct?
- AExtra fluid weakens the fistula wall and makes it more likely to burst
- BDrinking water makes the dialysis remove too much potassium from the blood
- CExcess fluid builds up, raising BP and causing breathlessness and cramps on dialysis
- DFluid restriction is mainly to shorten the time spent on the machine
Answer key
- 1. A · A tendency to have recurrent seizures that are not provoked
- 2. D · A catheter put into the bladder through the abdomen
- 3. D · A brief staring spell of a few seconds with a quick return to normal
- 4. B · Sugar on the skin can give a falsely high reading
- 5. C · Changes in mood, such as irritability, low mood or anger
- 6. D · Carbamazepine can make the pill less effective, so other contraception is needed
- 7. A · Aspirin
- 8. C · Excess fluid builds up, raising BP and causing breathlessness and cramps on dialysis
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