1.Easy
What does the abbreviation "NPO" (or "nil by mouth") mean?
- ANothing to eat or drink
- BNormal diet as tolerated
- COnly clear fluids
- DMedicines only by injection
2.Easy
What should you do with a used needle after an injection?
- ALeave it on the tray and dispose of it once the procedure is over
- BRecap it carefully with both hands
- CPut it straight into a sharps container without recapping
- DPut it in the general waste bin
3.Easy
What is the main role of platelets?
- AFighting bacterial infection
- BCarrying oxygen around the body
- CCarrying carbon dioxide to the lungs
- DHelping the blood to clot
4.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive the next dose of insulin
- BGive nothing until the doctor arrives
- CGive a large meal straight away and recheck the glucose the next morning
- DGive a fast-acting carbohydrate by mouth and recheck the glucose
5.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
- BFaecal impaction with overflow
- CA side effect of drinking too much water
- DAn infection that needs antidiarrhoeal drugs at once
6.Medium
A patient starts regular morphine. What is usually prescribed alongside it to prevent a common side effect?
- AAn antibiotic
- BAn antihistamine
- CA diuretic
- DA laxative
7.Hard
Lying and standing blood pressure are measured. Which result meets the usual definition of orthostatic hypotension?
- AA fall in systolic pressure of 5 mmHg or more after 10 minutes of standing still
- BA fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- CA rise in heart rate of 5 beats per minute on standing
- DA rise in systolic pressure of 20 mmHg on standing
8.Hard
A patient has been taught breathing exercises before surgery. Which statement shows a need for further teaching?
- A"I'll hold a pillow over the wound when I cough."
- B"I'll ask for pain relief if pain stops me breathing deeply."
- C"I'll avoid coughing so I don't hurt my stitches."
- D"I'll take some slow deep breaths every hour."
Answer key
- 1. A · Nothing to eat or drink
- 2. C · Put it straight into a sharps container without recapping
- 3. D · Helping the blood to clot
- 4. D · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 5. B · Faecal impaction with overflow
- 6. D · A laxative
- 7. B · A fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- 8. C · "I'll avoid coughing so I don't hurt my stitches."
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