1.Easy
What is delirium?
- AA lifelong learning disability
- BA normal part of ageing
- CA sudden, fluctuating disturbance of attention and awareness
- DA slowly progressive loss of memory and thinking over several years
2.Easy
On admission to a ward, what should a patient be shown early for their safety?
- AWhere the drug cupboard keys are kept
- BWhere the staff room is
- CHow to read their medical notes
- DHow to use the call bell
3.Easy
What is the ratio of compressions to rescue breaths in adult CPR?
- A30 compressions to 2 breaths
- B15 compressions to 2 breaths
- C5 compressions to 1 breath
- D10 compressions to 1 breath
4.Medium
When should blood cultures be taken in a patient with suspected sepsis?
- AOnly after three days of antibiotics, to see if they are working
- BBefore antibiotics are given, as long as this does not delay them
- COnly if the temperature rises above 40 °C
- DAfter the patient has recovered from the infection
5.Medium
What is the main aim of "protected mealtimes" on hospital wards?
- ATo let patients eat without interruptions, with help where needed
- BTo stop visitors from bringing any food into hospital
- CTo give staff a fixed break while the patients are eating their meals
- DTo make sure all patients eat the same meal at once
6.Medium
How should a nurse help a patient with severe visual impairment on admission?
- AMove the patient's belongings around to keep the area tidy
- BGuide the patient by pushing them gently from behind as they walk
- CSpeak more loudly than usual
- DIntroduce themselves, describe the room and keep items in place
7.Hard
An 86-year-old has new confusion and a temperature of 37.1 °C. Why should infection still be considered?
- AA temperature of 37.1 °C is a fever in older adults
- BConfusion is always caused by infection in older adults
- COlder adults often have a weaker fever response to infection
- DOlder adults normally have a higher body temperature
8.Hard
A patient's NEWS2 score suddenly rises from 1 to 7. What is the appropriate response?
- AUrgent or emergency response with immediate senior clinical review
- BContinue four-hourly observations
- CDocument it, repeat the observations and inform the doctor at the next ward round
- DRecheck the observations tomorrow morning
Answer key
- 1. C · A sudden, fluctuating disturbance of attention and awareness
- 2. D · How to use the call bell
- 3. A · 30 compressions to 2 breaths
- 4. B · Before antibiotics are given, as long as this does not delay them
- 5. A · To let patients eat without interruptions, with help where needed
- 6. D · Introduce themselves, describe the room and keep items in place
- 7. C · Older adults often have a weaker fever response to infection
- 8. A · Urgent or emergency response with immediate senior clinical review
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