1.Easy
What is an incident report used for?
- ARecording staff holiday requests
- BRecording the patient's daily observations and fluid balance
- CRecording an event that caused or could have caused harm
- DOrdering equipment for the ward
2.Easy
What does the abbreviation "NPO" (or "nil by mouth") mean?
- ANormal diet as tolerated
- BNothing to eat or drink
- CMedicines only by injection
- DOnly clear fluids
3.Easy
What does patient advocacy by a nurse mean?
- AMaking care decisions on behalf of every patient in their best interests
- BDefending the hospital in complaints
- CGiving legal advice to patients
- DSpeaking up for the patient's rights and interests
4.Medium
A patient with right-sided weakness is moving from bed to chair. Where should the chair be placed?
- AOn the patient's right side, close to the bed
- BAcross the room so the patient can practise walking
- CAt the foot of the bed facing away
- DOn the patient's left side, close to the bed
5.Medium
Which approach suits teaching an older adult with poor eyesight and mild memory problems?
- AA detailed leaflet in small print for them to read later at home
- BTeaching only the family and not the patient
- CShort sessions, large-print materials and repeating key points
- DOne long session with all the information at once
6.Medium
A patient has a temperature of 38.6 °C, heart rate 118/min, respiratory rate 24/min and new confusion. What should you suspect first?
- ANormal postoperative recovery
- BHypoglycaemia only
- CDehydration from not drinking enough water only
- DSepsis
7.Hard
A patient has been taught to walk with underarm crutches. Which statement shows a need for further teaching?
- A"I'll check the rubber tips regularly for wear."
- B"I'll rest my weight on the tops of the crutches under my arms."
- C"I'll keep the crutch tips about a step out to the side and front."
- D"I'll take my weight through my hands on the hand grips."
8.Hard
A patient needs a painful dressing change. When is it best to give the prescribed oral analgesic?
- AEarly enough before the procedure for it to reach its peak effect
- BOnly if the patient shows signs of pain or cries out during the procedure
- CThe same time the next day
- DImmediately after the dressing change
Answer key
- 1. C · Recording an event that caused or could have caused harm
- 2. B · Nothing to eat or drink
- 3. D · Speaking up for the patient's rights and interests
- 4. D · On the patient's left side, close to the bed
- 5. C · Short sessions, large-print materials and repeating key points
- 6. D · Sepsis
- 7. B · "I'll rest my weight on the tops of the crutches under my arms."
- 8. A · Early enough before the procedure for it to reach its peak effect
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