1.Easy
What is a healthcare-associated infection?
- AAn infection that only affects healthcare workers
- BAn infection that the patient already had or was incubating when admitted to hospital
- CAn infection that develops as a result of care and was not present on admission
- DAn infection that is passed on only through food
2.Easy
In a patient lying on their back, which two areas most often develop pressure ulcers?
- AThe knees and the shins
- BThe sacrum and the heels
- CThe shoulders and the chest
- DThe elbows and the ears
3.Easy
Leaving a dependent adult without food, warmth or basic care is which type of abuse?
- ANeglect
- BSexual abuse
- CFinancial abuse
- DPsychological abuse
4.Medium
What is orthostatic (postural) hypotension?
- AA fall in blood pressure on standing up, often causing dizziness
- BLow blood pressure only during sleep
- CHigh blood pressure when lying down
- DA difference of more than 10 mmHg in blood pressure between the two arms
5.Medium
A caller says they are a patient's daughter and asks for details of the patient's condition. What should the nurse do?
- AHang up without saying anything
- BCheck the patient's wishes and the caller's identity first
- CRead out the latest notes over the phone
- DGive full details, as close family members have a right to know
6.Medium
A patient with expressive aphasia after a stroke understands speech but struggles to find words. Which approach helps most?
- ASpeak louder and more slowly than usual
- BAsk simple yes/no questions and allow plenty of time
- CTalk to the family instead of the patient
- DFinish their sentences quickly for them to save them frustration
7.Hard
In early hypovolaemic shock in a young adult, which sign usually appears before blood pressure falls?
- AA slow heart rate
- BA rising heart rate with cool peripheries
- CWarm, flushed skin
- DA very low blood pressure
8.Hard
Which task is most appropriate for a registered nurse to delegate to a healthcare assistant (nursing assistant)?
- ATeaching a patient how to use crutches
- BEvaluating a patient who has just fallen
- CHelping a stable patient walk to the bathroom
- DAssessing a newly admitted patient's falls risk
Answer key
- 1. C · An infection that develops as a result of care and was not present on admission
- 2. B · The sacrum and the heels
- 3. A · Neglect
- 4. A · A fall in blood pressure on standing up, often causing dizziness
- 5. B · Check the patient's wishes and the caller's identity first
- 6. B · Ask simple yes/no questions and allow plenty of time
- 7. B · A rising heart rate with cool peripheries
- 8. C · Helping a stable patient walk to the bathroom
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