1.Easy
What does "nocturia" mean?
- ABeing unable to sleep because of pain
- BPassing urine only in the morning
- CBedwetting in young children only
- DWaking at night to pass urine
2.Easy
What is extravasation?
- ALeakage of plain saline from the cannula into the tissue around the vein
- BA cannula that has slipped deeper into the vein
- CLeakage of an irritant (vesicant) drug into the tissue around the vein
- DBleeding from the site after the cannula is removed
3.Easy
What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?
- AThe patient must be moved to a hospice
- BThe patient will receive no treatment at all
- CCPR will not be attempted, but all other care continues
- DThe patient can no longer be given oxygen, fluids or antibiotics
4.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive a large meal straight away and recheck the glucose the next morning
- BGive a fast-acting carbohydrate by mouth and recheck the glucose
- CGive nothing until the doctor arrives
- DGive the next dose of insulin
5.Medium
A patient speaks little English. Who should interpret during an important consent discussion?
- AA professional medical interpreter
- BThe patient's young child
- CA visitor in the next bed
- DAny staff member who knows a few words of the language
6.Medium
A smoker says, "I know I should stop, and I'm thinking about it some time in the next few months." Which stage of change is this?
- AContemplation
- BMaintenance
- CPrecontemplation
- DPreparation
7.Hard
Which task is most appropriate for a registered nurse to delegate to a healthcare assistant (nursing assistant)?
- ATeaching a patient how to use crutches
- BHelping a stable patient walk to the bathroom
- CEvaluating a patient who has just fallen
- DAssessing a newly admitted patient's falls risk
8.Hard
Why should only the patient press the button of a patient-controlled analgesia (PCA) pump?
- AVisitors might damage the pump or change its settings if they touch it
- BA drowsy patient stops pressing, which helps prevent overdose
- CThe pump only works with the patient's fingerprint
- DNurses are not allowed to give opioids
Answer key
- 1. D · Waking at night to pass urine
- 2. C · Leakage of an irritant (vesicant) drug into the tissue around the vein
- 3. C · CPR will not be attempted, but all other care continues
- 4. B · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 5. A · A professional medical interpreter
- 6. A · Contemplation
- 7. B · Helping a stable patient walk to the bathroom
- 8. B · A drowsy patient stops pressing, which helps prevent overdose
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