1.Easy
Which position is best for a conscious patient with breathing difficulty?
- ASitting upright (high Fowler's position)
- BTrendelenburg position, with the head lower than the feet
- CLying on the stomach
- DLying flat on the back
2.Easy
What does serous wound exudate look like?
- AThick, green or yellow and foul-smelling
- BBright red and fresh, like blood from a cut
- CClear and watery, sometimes pale yellow
- DPink and frothy
3.Easy
What is the legal term for failing to give the standard of care a reasonable nurse would give, causing harm?
- ABattery
- BAssault
- CNegligence
- DDefamation
4.Medium
When giving several medicines through a feeding tube, what is correct?
- ACrush every tablet, including modified-release ones
- BMix them all together in the feed so they are given at the same time
- CGive them without flushing to save time
- DGive each medicine separately and flush with water between them
5.Medium
A patient refuses their regular evening tablets. What should the nurse do first?
- AExplore the reason for refusing
- BInsist until the patient takes them
- CThrow the tablets away without telling anyone
- DHide the tablets in their food
6.Medium
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- ANormal bowel function returning
- BAn infection that needs antidiarrhoeal drugs at once
- CA side effect of drinking too much water
- DFaecal impaction with overflow
7.Hard
A pressure ulcer's base is completely covered with slough and dark eschar. How is it classified?
- ACategory 2, because it is covered
- BCategory 1, because the skin is not open
- CUnstageable, because the depth cannot be seen
- DHealed, because a scab has formed
8.Hard
An older patient's leg wound has become more painful and has a new unpleasant smell, but there is no fever. What does this suggest?
- AAn allergy to the dressing that needs no action
- BA possible wound infection that needs assessment and reporting
- CThe wound has dried out and needs to be left open
- DNormal healing, because there is no fever and the wound is still closed
Answer key
- 1. A · Sitting upright (high Fowler's position)
- 2. C · Clear and watery, sometimes pale yellow
- 3. C · Negligence
- 4. D · Give each medicine separately and flush with water between them
- 5. A · Explore the reason for refusing
- 6. D · Faecal impaction with overflow
- 7. C · Unstageable, because the depth cannot be seen
- 8. B · A possible wound infection that needs assessment and reporting
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