1.Easy
Which of these is a non-drug method of pain relief?
- ADistraction, for example with music
- BA morphine injection
- CAn anti-inflammatory gel
- DA paracetamol (acetaminophen) tablet
2.Easy
Where is the apical pulse best heard in an adult?
- AAt the fifth intercostal space in the left midclavicular line
- BOver the lower end of the sternum in the midline
- CAt the left side of the neck beside the windpipe
- DAt the second intercostal space just right of the sternum
3.Easy
Where is a buccal medicine placed?
- AInside the nostril
- BBetween the cheek and the gum
- CUnder the tongue, where it dissolves
- DOn the back of the tongue
4.Medium
What is the main reason for documenting care at the time it is given?
- AIt makes the shift pass faster
- BRecords are only needed for billing
- CDocumentation is optional as long as the care itself was given correctly and safely
- DAccurate records support safe continuity of care and are a legal record
5.Medium
Which Glasgow Coma Scale score indicates a fully alert patient?
- A3
- B10
- C15
- D12
6.Medium
What is medicines reconciliation on admission?
- ACounting the tablets in the ward drug trolley at the start of each shift
- BGetting an accurate list of the medicines taken before admission
- COrdering new stock from the pharmacy
- DChanging all the patient's medicines to hospital brands
7.Hard
Eight hours after surgery a patient has not passed urine and has lower abdominal discomfort with a swelling above the pubic bone. What should the nurse do?
- ACheck the bladder volume with a scanner and report the findings
- BRecord it and check again the next morning
- CEncourage the patient to drink two litres of water quickly
- DGive a laxative to relieve the swelling
8.Hard
A patient has a platelet count of 40 × 10⁹/L (40,000/mm³). Which nursing measure is appropriate?
- AUse a soft toothbrush and avoid IM injections where possible
- BEncourage contact sports to raise the count
- CGive aspirin for any headaches
- DUse a firm toothbrush and floss hard to keep the gums healthy
Answer key
- 1. A · Distraction, for example with music
- 2. A · At the fifth intercostal space in the left midclavicular line
- 3. B · Between the cheek and the gum
- 4. D · Accurate records support safe continuity of care and are a legal record
- 5. C · 15
- 6. B · Getting an accurate list of the medicines taken before admission
- 7. A · Check the bladder volume with a scanner and report the findings
- 8. A · Use a soft toothbrush and avoid IM injections where possible
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