1.Easy
When using a fire extinguisher with the PASS method, where should it be aimed?
- AAt the base of the fire
- BAt the wall behind the fire
- CAt the top of the flames
- DAt the smoke above the fire
2.Easy
What does serous wound exudate look like?
- AClear and watery, sometimes pale yellow
- BThick, green or yellow and foul-smelling
- CBright red and fresh, like blood from a cut
- DPink and frothy
3.Easy
In Maslow's hierarchy of needs, which needs form the base of the pyramid?
- ALove and belonging
- BPhysiological needs such as air, food and water
- CSelf-actualisation
- DEsteem needs such as recognition, status and respect
4.Medium
A patient's radial pulse is irregular. How should you count it?
- AFor a full 60 seconds, ideally at the apex of the heart
- BFor 15 seconds and multiply by four
- COnly on the automatic blood pressure machine
- DFor 10 seconds and multiply by six
5.Medium
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- ALie the patient flat to rest
- BStop feeding and report for a swallowing assessment
- CFeed more quickly so the meal is finished before they tire
- DGive a drink of water to wash the food down
6.Medium
A patient has a temperature of 38.6 °C, heart rate 118/min, respiratory rate 24/min and new confusion. What should you suspect first?
- ANormal postoperative recovery
- BDehydration from not drinking enough water only
- CSepsis
- DHypoglycaemia only
7.Hard
What should the nurse check before giving digoxin?
- AThe radial pulse for 15 seconds
- BThe blood glucose level
- CThe temperature
- DThe apical pulse for a full minute
8.Hard
A patient who now lacks capacity made a valid, applicable advance decision refusing a specific life-sustaining treatment. What should staff do (England and Wales)?
- AAsk the family to overrule it
- BGive the treatment because the patient cannot decide now
- CIgnore it, because only verbal wishes count
- DFollow the advance decision and not give that treatment
Answer key
- 1. A · At the base of the fire
- 2. A · Clear and watery, sometimes pale yellow
- 3. B · Physiological needs such as air, food and water
- 4. A · For a full 60 seconds, ideally at the apex of the heart
- 5. B · Stop feeding and report for a swallowing assessment
- 6. C · Sepsis
- 7. D · The apical pulse for a full minute
- 8. D · Follow the advance decision and not give that treatment
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