1.Easy
What is the main effect of applying cold to a new sprain?
- AThe muscles relax and stretch more easily
- BThe bones heal more quickly
- CBlood vessels widen, bringing more blood to the area
- DBlood vessels narrow, reducing swelling and pain
2.Easy
What does patient advocacy by a nurse mean?
- AMaking care decisions on behalf of every patient in their best interests
- BDefending the hospital in complaints
- CSpeaking up for the patient's rights and interests
- DGiving legal advice to patients
3.Easy
What is healing by primary intention?
- AHealing of an open wound that slowly fills with new tissue from its base upwards
- BHealing of a wound that needs a skin graft to close
- CHealing of a wound whose edges are closed together, such as a sutured incision
- DHealing of a wound that was left open and closed a few days later
4.Medium
When is a sputum sample for culture best collected?
- AAt any time, using saliva from the mouth
- BIn the morning, from a deep cough, before antibiotics start
- CAfter the first few doses of antibiotics
- DIn the evening, after the patient has eaten and drunk
5.Medium
A patient with a leg injury is climbing stairs with crutches. Which leg should go up first?
- AThe unaffected leg
- BBoth legs together
- CThe crutches always go first
- DThe injured leg
6.Medium
In England and Wales, what does it mean if a child under 16 is "Gillick competent"?
- AThey have enough understanding to consent to a particular treatment themselves
- BTheir parents must always make every decision for them
- CThey are old enough to vote and drive
- DThey can refuse all treatment, whatever the risk, until they reach the age of 18
7.Hard
Four patients need you at the same time. Who should you see first?
- AA patient who has developed noisy, high-pitched breathing (stridor)
- BA patient due for a routine oral medicine
- CA patient asking about their discharge time
- DA patient with pain of 6/10 who was given oral analgesia 20 minutes ago
8.Hard
A patient with a slow-healing leg ulcer is eating less than half of their meals. What is the most helpful nursing action?
- AAsk the patient to drink less to avoid swelling
- BGive extra salt to stimulate the appetite
- CRefer to the dietitian and support protein and energy intake
- DWait until the ulcer heals before addressing nutrition
Answer key
- 1. D · Blood vessels narrow, reducing swelling and pain
- 2. C · Speaking up for the patient's rights and interests
- 3. C · Healing of a wound whose edges are closed together, such as a sutured incision
- 4. B · In the morning, from a deep cough, before antibiotics start
- 5. A · The unaffected leg
- 6. A · They have enough understanding to consent to a particular treatment themselves
- 7. A · A patient who has developed noisy, high-pitched breathing (stridor)
- 8. C · Refer to the dietitian and support protein and energy intake
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