1.Easy
What is the most common type of kidney stone?
- AStruvite
- BCalcium oxalate
- CCystine
- DUric acid
2.Easy
Why does a patient with a kidney transplant need lifelong medicines?
- ATo stop the immune system rejecting the new kidney
- BTo keep the blood pressure low enough
- CTo help the new kidney make more urine each day
- DTo prevent kidney stones in the new kidney
3.Easy
In peritoneal dialysis, what acts as the dialysis membrane?
- AThe wall of the bladder
- BThe lining of the stomach
- CThe lining of the abdominal cavity
- DA filter in a machine outside the body
4.Medium
A patient with a right-hemisphere stroke ignores food on the left side of the plate. What is this called?
- AExpressive aphasia
- BLeft-sided neglect
- CDysphagia
- DCerebellar ataxia
5.Medium
A urine dipstick is positive for nitrites. What does this suggest?
- AThe patient is dehydrated and needs more fluid
- BThe urine has a lot of glucose in it
- CBacteria that convert nitrate are present
- DThe kidneys are losing too much protein
6.Medium
What is the most common trigger of autonomic dysreflexia in a patient with a spinal cord injury?
- AA full bladder or blocked catheter
- BA low blood glucose level
- CA large meal eaten too quickly at night
- DA long period of sleep
7.Hard
A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?
- A8.4% sodium bicarbonate
- B5% glucose (dextrose, D5W)
- C20% human albumin
- D3% saline
8.Hard
A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?
- AGive the next phenytoin dose early to prevent a seizure
- BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
- CSuspect a new stroke and give aspirin straight away before any scan
- DEncourage the patient to walk more to improve their balance
Answer key
- 1. B · Calcium oxalate
- 2. A · To stop the immune system rejecting the new kidney
- 3. C · The lining of the abdominal cavity
- 4. B · Left-sided neglect
- 5. C · Bacteria that convert nitrate are present
- 6. A · A full bladder or blocked catheter
- 7. B · 5% glucose (dextrose, D5W)
- 8. B · Suspect phenytoin toxicity, hold the next dose and ask for a drug level
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