1.Easy
Which hormone do the alpha cells of the pancreatic islets make?
- AInsulin
- BSomatostatin
- CGlucagon
- DAmylase
2.Easy
Which is a common effect of long-term corticosteroid treatment?
- AA lower risk of infections
- BLow blood glucose
- CWeight loss and a slim face
- DThinning of the bones
3.Easy
How should a patient collect a midstream urine sample?
- ACollect urine over 24 hours into one bottle
- BCollect urine from the toilet bowl afterwards
- CLet the first part go in the toilet, then catch the middle
- DCollect the very first drops into the container
4.Medium
What is the most common trigger of autonomic dysreflexia in a patient with a spinal cord injury?
- AA large meal eaten too quickly at night
- BA low blood glucose level
- CA long period of sleep
- DA full bladder or blocked catheter
5.Medium
A patient has hypertension that is hard to control and a persistently low potassium, without taking diuretics. Which condition should be considered?
- APrimary hypothyroidism
- BCranial diabetes insipidus
- CPrimary hyperaldosteronism (Conn's)
- DPrimary adrenal insufficiency (Addison's)
6.Medium
Which headache feature most suggests raised intracranial pressure from a brain tumour?
- AA tight band across the forehead that eases with rest
- BOnly present after reading for a long time
- CWorse on waking and on coughing, with vomiting
- DBetter in the morning and worse with stress
7.Hard
A patient recovering from acute tubular necrosis enters the polyuric phase, passing over 4 L of urine a day. What is the main nursing concern?
- ADehydration with low potassium and sodium
- BFluid overload with high potassium levels
- CRetention of urine in a distended bladder
- DHypoglycaemia caused by excess insulin
8.Hard
A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?
- A"I will check that the bath water is not too hot using my elbow."
- B"I will check my feet every day, using a mirror for the soles."
- C"I will buy corn plasters from the pharmacy for my corn."
- D"I will wear socks and shoes that fit well and do not rub."
Answer key
- 1. C · Glucagon
- 2. D · Thinning of the bones
- 3. C · Let the first part go in the toilet, then catch the middle
- 4. D · A full bladder or blocked catheter
- 5. C · Primary hyperaldosteronism (Conn's)
- 6. C · Worse on waking and on coughing, with vomiting
- 7. A · Dehydration with low potassium and sodium
- 8. C · "I will buy corn plasters from the pharmacy for my corn."
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