1.Easy
In Maslow's hierarchy, which needs come directly above physiological needs?
- ALove and belonging needs
- BSelf-actualisation needs
- CSafety and security needs
- DEsteem needs
2.Easy
Which oxygen device is most often used to give a low flow of oxygen to a comfortable patient?
- ABag-valve-mask
- BHigh-flow humidified system
- CNon-rebreather mask
- DNasal cannula
3.Easy
What does "dysphagia" mean?
- ADifficulty swallowing
- BDifficulty speaking
- CShortness of breath
- DPainful urination
4.Medium
What is medicines reconciliation on admission?
- ACounting the tablets in the ward drug trolley at the start of each shift
- BChanging all the patient's medicines to hospital brands
- CGetting an accurate list of the medicines taken before admission
- DOrdering new stock from the pharmacy
5.Medium
A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?
- ARecord the goal as not met and review the plan
- BRecord the goal as met, as the pain has gone down
- CChange the goal to 6/10 or less so that it counts as met
- DWait until the next day to evaluate again
6.Medium
A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?
- AThat they cannot listen to this and the patient should tell a doctor
- BThat they cannot promise secrecy if someone is at risk of harm
- CThat they will tell everyone on the ward so the patient is safe
- DThat they promise to keep it secret, so the patient keeps trusting them
7.Hard
When measuring blood pressure, the patient's arm is hanging down by their side below heart level. How does this affect the reading?
- AIt gives a falsely high reading
- BIt affects only the heart rate
- CIt has no effect on the reading
- DIt gives a falsely low reading
8.Hard
Why can a patient with a high fever be in negative fluid balance even when measured intake equals measured output?
- AFever makes the kidneys produce extra urine that cannot be measured
- BFever increases unmeasured fluid loss through sweating and breathing
- CFever causes the body to make extra water from fat
- DFever has no effect on the body's water balance
Answer key
- 1. C · Safety and security needs
- 2. D · Nasal cannula
- 3. A · Difficulty swallowing
- 4. C · Getting an accurate list of the medicines taken before admission
- 5. A · Record the goal as not met and review the plan
- 6. B · That they cannot promise secrecy if someone is at risk of harm
- 7. A · It gives a falsely high reading
- 8. B · Fever increases unmeasured fluid loss through sweating and breathing
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