1.Easy
Which advice is part of good sleep hygiene?
- AHave a large meal just before bed
- BTake long naps late in the day
- CUse a phone or tablet in bed until falling asleep
- DAvoid caffeine in the late afternoon and evening
2.Easy
What is IV infiltration?
- AAn infection of the blood from the cannula
- BLeakage of a non-irritant fluid into the tissue around the vein
- CA blood clot forming at the tip of the cannula
- DInflammation of the vein wall caused by irritation from the cannula
3.Easy
What does SpO₂ measure?
- AThe amount of CO₂ in exhaled air
- BThe breathing rate
- CThe oxygen saturation of haemoglobin, measured by pulse oximetry
- DThe partial pressure of oxygen in arterial blood, measured by blood gas
4.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive a fast-acting carbohydrate by mouth and recheck the glucose
- BGive nothing until the doctor arrives
- CGive a large meal straight away and recheck the glucose the next morning
- DGive the next dose of insulin
5.Medium
When should hands be washed with soap and water instead of alcohol hand rub?
- ABefore every routine observation
- BNever, because alcohol rub is always better
- CWhen the hands are visibly dirty or soiled
- DOnly at the start of the shift
6.Medium
What is orthostatic (postural) hypotension?
- AA fall in blood pressure on standing up, often causing dizziness
- BLow blood pressure only during sleep
- CA difference of more than 10 mmHg in blood pressure between the two arms
- DHigh blood pressure when lying down
7.Hard
On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?
- ACategory 1
- BCategory 2
- CCategory 3
- DCategory 4
8.Hard
Which statement by a visitor shows a need for further teaching about contact precautions?
- A"I'll clean my hands as I leave the room."
- B"I'll take the gown off at home after I leave the hospital."
- C"I'll take off the gown and gloves before I leave the room."
- D"I'll put on the gown and gloves before I go in."
Answer key
- 1. D · Avoid caffeine in the late afternoon and evening
- 2. B · Leakage of a non-irritant fluid into the tissue around the vein
- 3. C · The oxygen saturation of haemoglobin, measured by pulse oximetry
- 4. A · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 5. C · When the hands are visibly dirty or soiled
- 6. A · A fall in blood pressure on standing up, often causing dizziness
- 7. B · Category 2
- 8. B · "I'll take the gown off at home after I leave the hospital."
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