1.Easy
Which of these is a closed question?
- A"Do you have any pain now?"
- B"Can you tell me about your pain?"
- C"What worries you about going home?"
- D"How are you feeling today?"
2.Easy
What is extravasation?
- ABleeding from the site after the cannula is removed
- BA cannula that has slipped deeper into the vein
- CLeakage of plain saline from the cannula into the tissue around the vein
- DLeakage of an irritant (vesicant) drug into the tissue around the vein
3.Easy
A nurse sees a colleague giving care that puts a patient at risk. What should the nurse do?
- AIgnore it to keep a good relationship with the colleague
- BWait to see whether it happens again
- CPost about it on social media
- DRaise the concern through the proper channels
4.Medium
A dying patient asks to see a chaplain or religious leader. What should the nurse do?
- AArrange the visit as soon as possible
- BTell the patient to wait until visiting hours tomorrow
- CExplain that religious matters are not part of care
- DAsk the patient's doctor if a visit is allowed
5.Medium
The skin along a peripheral IV cannula is red, painful and swollen. What is the appropriate action?
- ARemove the cannula and document it, then resite if still needed
- BFlush the cannula harder to clear it
- CCover it with a fresh dressing and continue the infusion as prescribed
- DIncrease the infusion rate
6.Medium
An older patient is found to be mildly hypothermic. Which care is most appropriate?
- AGradual rewarming with blankets and warm surroundings
- BPutting the patient in a very hot bath straight away
- CPlacing hot water bottles directly on the skin
- DGiving an alcoholic drink to warm them up
7.Hard
A patient with capacity tells the nurse they do not want the operation their family keeps pushing for. What is the nurse's best action?
- ASay nothing to avoid a conflict with the family
- BSupport the patient to tell the team their wishes
- CTell the patient to follow the family's advice
- DLet the family decide, as they know the patient best
8.Hard
A patient's notes record a penicillin allergy with a rash. The new prescription is for amoxicillin. What should the nurse do?
- AGive an antihistamine first, then the amoxicillin
- BGive half the dose and watch for a rash
- CWithhold it and contact the prescriber, as amoxicillin is a penicillin
- DGive the dose, as amoxicillin is a different drug from penicillin itself
Answer key
- 1. A · "Do you have any pain now?"
- 2. D · Leakage of an irritant (vesicant) drug into the tissue around the vein
- 3. D · Raise the concern through the proper channels
- 4. A · Arrange the visit as soon as possible
- 5. A · Remove the cannula and document it, then resite if still needed
- 6. A · Gradual rewarming with blankets and warm surroundings
- 7. B · Support the patient to tell the team their wishes
- 8. C · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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