1.Easy
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AAphasia
- BAtaxia
- CApraxia
- DAgnosia
2.Easy
A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?
- AWait until there is clear proof before telling anyone
- BInvestigate the family alone at home before reporting
- CConfront the parents and ask them directly whether they hurt the child
- DReport the concern according to child protection procedures
3.Easy
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
- ASummarising
- BFocusing
- CRestating
- DExploring
4.Medium
How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?
- AIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
- BIt always involves repeated hand washing and checking rituals
- CIt starts suddenly in later life after a stressful event and goes away on its own within a few months
- DPeople with it always feel that their behaviour is senseless and unwanted
5.Medium
What is the CIWA-Ar scale used for?
- AMeasuring the risk of falls in hospital
- BScreening for dementia in older adults
- CRating the severity of alcohol withdrawal to guide treatment
- DMeasuring the depth of sedation in patients on a ventilator in intensive care
6.Medium
A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?
- ALeave him alone in a dark room so that he can sleep it off
- BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
- CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
- DArgue with him that what he sees is not real until he accepts it
7.Hard
Immediately after an ECT treatment, a patient is drowsy in the recovery area. What is the nursing priority?
- ATest the patient's long-term memory in detail to check for any lasting damage
- BAsk the patient to walk back to the ward alone
- CMaintain the airway, place the patient on the side and monitor vital signs
- DGive a large breakfast straight away
8.Hard
An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?
- AAn ECG to look for a prolonged QT interval
- BA liver function test
- CA white blood cell count with differential
- DA serum lithium level
Answer key
- 1. A · Aphasia
- 2. D · Report the concern according to child protection procedures
- 3. A · Summarising
- 4. A · It is a lasting pattern of perfectionism and control without true obsessions and compulsions
- 5. C · Rating the severity of alcohol withdrawal to guide treatment
- 6. C · Stay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
- 7. C · Maintain the airway, place the patient on the side and monitor vital signs
- 8. A · An ECG to look for a prolonged QT interval
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