1.Easy
What is delirium?
- AA normal part of ageing
- BA slowly progressive loss of memory and thinking over several years
- CA lifelong learning disability
- DA sudden, fluctuating disturbance of attention and awareness
2.Easy
What is the main purpose of turning a bedridden patient regularly?
- ATo prevent pressure ulcers
- BTo keep the bed clean
- CTo improve appetite
- DTo lower blood pressure
3.Easy
What is the normal respiratory rate for a resting adult?
- A30 to 40 breaths per minute
- B12 to 20 breaths per minute
- C20 to 30 breaths per minute
- D6 to 10 breaths per minute
4.Medium
Which Glasgow Coma Scale score indicates a fully alert patient?
- A15
- B3
- C10
- D12
5.Medium
How can nurses help patients sleep better on a hospital ward at night?
- ADo routine tasks such as bed changes at midnight while it is quiet
- BKeep the main lights on so staff can see clearly
- CGroup care and observations so patients are disturbed less often
- DGive every patient a sleeping tablet
6.Medium
Which early warning sign often appears first when a patient's condition worsens?
- ALower heart rate
- BA falling body temperature
- CImproving appetite
- DA rising respiratory rate
7.Hard
A patient with COPD and a target saturation of 88–92% is on oxygen. Their SpO₂ is now 97%. What should the nurse do?
- AReduce the oxygen to bring the saturation back into the target range
- BIncrease the oxygen to keep the level high
- CRemove all oxygen and stop monitoring
- DLeave it, because a higher saturation is always better for a patient with COPD
8.Hard
Aspirate from a newly placed nasogastric tube has a pH of 7. What should the nurse do?
- ANot use the tube and follow policy, which may mean a chest X-ray
- BFlush the tube with water and start the feed
- CPush air down the tube and listen over the stomach
- DStart the feed, as a pH of 7 confirms that the tube is in the stomach
Answer key
- 1. D · A sudden, fluctuating disturbance of attention and awareness
- 2. A · To prevent pressure ulcers
- 3. B · 12 to 20 breaths per minute
- 4. A · 15
- 5. C · Group care and observations so patients are disturbed less often
- 6. D · A rising respiratory rate
- 7. A · Reduce the oxygen to bring the saturation back into the target range
- 8. A · Not use the tube and follow policy, which may mean a chest X-ray
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