1.Easy
How should a peritoneal dialysis catheter exit site be cared for?
- AKept clean and dry and checked daily for redness
- BSoaked in a hot bath every day
- CCleaned with a strong bleach solution
- DCovered with a tight bandage and not looked at for a week
2.Easy
What is the correct first aid during a generalised tonic-clonic seizure?
- ASit the person up and give sips of water to prevent choking
- BHold the arms and legs down firmly until the jerking stops
- CCushion the head, time the seizure and put nothing in the mouth
- DPut a spoon or plastic airway between the teeth as soon as possible
3.Easy
Where should a urinary catheter drainage bag be kept?
- AAbove the bladder so urine flows faster
- BOn the floor under the bed, out of the way
- CBelow the level of the bladder and off the floor
- DOn the bed next to the patient's pillow
4.Medium
A urine dipstick is positive for nitrites. What does this suggest?
- AThe patient is dehydrated and needs more fluid
- BThe kidneys are losing too much protein
- CBacteria that convert nitrate are present
- DThe urine has a lot of glucose in it
5.Medium
Why is nimodipine given to patients after a subarachnoid haemorrhage?
- ATo raise the blood pressure and improve perfusion
- BTo dissolve the blood clot around the aneurysm
- CTo stop seizures in the first few days
- DTo reduce brain injury from delayed vasospasm
6.Medium
An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?
- AOlder adults often show infection as confusion
- BUrinary infections always cause a high fever in older adults
- CConfusion is the only symptom of a UTI at any age
- DA UTI cannot occur in people over 80
7.Hard
A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?
- AAnother course of antibiotics for a UTI
- BUrgent referral for cystoscopy and imaging
- CAdvise more fluids and review in a year
- DReassure him, because the blood has stopped
8.Hard
A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?
- A"I will drink enough fluids during the day."
- B"I will wipe from front to back."
- C"I will hold my urine for as long as I can."
- D"I will pass urine soon after sex."
Answer key
- 1. A · Kept clean and dry and checked daily for redness
- 2. C · Cushion the head, time the seizure and put nothing in the mouth
- 3. C · Below the level of the bladder and off the floor
- 4. C · Bacteria that convert nitrate are present
- 5. D · To reduce brain injury from delayed vasospasm
- 6. A · Older adults often show infection as confusion
- 7. B · Urgent referral for cystoscopy and imaging
- 8. C · "I will hold my urine for as long as I can."
Full step-by-step solutions: practise this topic on examproblems.com.