1.Easy
What is the "teach-back" method in patient education?
- AGiving the patient a written leaflet to read at home before the next visit
- BAsking the patient to explain the information back in their own words
- CRepeating the same information three times
- DTeaching the family instead of the patient
2.Easy
What is the normal range for serum sodium in adults?
- A135–145 mmol/L
- B3.5–5.0 mmol/L
- C2.2–2.6 mmol/L
- D95–105 mmol/L
3.Easy
What does the abbreviation "NPO" (or "nil by mouth") mean?
- AOnly clear fluids
- BNothing to eat or drink
- CMedicines only by injection
- DNormal diet as tolerated
4.Medium
How should adhesive tape be removed from an older patient's fragile skin?
- AQuickly in one firm pull, straight upwards and away from the skin
- BBy pulling it away from the wound as hard as possible
- CSlowly, low and close to the skin, while supporting the skin
- DAfter wetting it with alcohol rub
5.Medium
A patient you are walking with starts to fall. What should you do?
- AGrab them under the armpits and lift them
- BEase them gently to the floor while protecting their head
- CTry to hold them upright with your arms around their chest
- DLet go quickly and call for help
6.Medium
Which approach suits teaching an older adult with poor eyesight and mild memory problems?
- AShort sessions, large-print materials and repeating key points
- BTeaching only the family and not the patient
- COne long session with all the information at once
- DA detailed leaflet in small print for them to read later at home
7.Hard
According to current European (ERC) and 2025 American Heart Association guidelines, what is the first action for a conscious adult who is choking and cannot cough effectively?
- AGive 5 rescue breaths
- BGive a glass of water
- CStart chest compressions at once
- DGive up to 5 back blows
8.Hard
A patient receiving chemotherapy develops a temperature of 38.3 °C. Why is this treated as an emergency?
- AThey may have neutropenic sepsis, which can quickly become fatal
- BChemotherapy always causes a fever that needs no action
- CA fever shows the cancer has spread
- DThe fever means the chemotherapy has stopped working on the cancer
Answer key
- 1. B · Asking the patient to explain the information back in their own words
- 2. A · 135–145 mmol/L
- 3. B · Nothing to eat or drink
- 4. C · Slowly, low and close to the skin, while supporting the skin
- 5. B · Ease them gently to the floor while protecting their head
- 6. A · Short sessions, large-print materials and repeating key points
- 7. D · Give up to 5 back blows
- 8. A · They may have neutropenic sepsis, which can quickly become fatal
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