1.Easy
Which PPE is normally worn for contact precautions when giving direct care?
- AA respirator mask only
- BGloves and an apron or gown
- CNo PPE is needed
- DEye protection only
2.Easy
What does "bradypnoea" mean?
- ABreathing that stops completely
- BAn abnormally slow breathing rate
- CAn abnormally fast breathing rate
- DBreathing that is painful
3.Easy
In UK hospital dress-code policy, what does "bare below the elbows" mean for clinical staff?
- AShort sleeves and no wristwatch or stoned rings during care
- BKeeping the arms covered at all times
- CWearing a gown with tight cuffs over the wrists
- DWearing long gloves that reach up to the elbows for all care
4.Medium
During a blood transfusion the patient develops fever, rigors and back pain. What should the nurse do first?
- ASlow the transfusion down and recheck the observations in an hour
- BFinish the bag quickly to reduce exposure
- CStop the transfusion and call for urgent medical help
- DGive paracetamol and continue the transfusion
5.Medium
What is orthostatic (postural) hypotension?
- AA fall in blood pressure on standing up, often causing dizziness
- BHigh blood pressure when lying down
- CA difference of more than 10 mmHg in blood pressure between the two arms
- DLow blood pressure only during sleep
6.Medium
If hair needs to be removed before surgery, what is recommended?
- APlucking the hairs with tweezers
- BShaving with a razor the night before
- CHair removal cream applied in theatre
- DElectric clippers on the day of surgery
7.Hard
A patient receiving chemotherapy develops a temperature of 38.3 °C. Why is this treated as an emergency?
- AA fever shows the cancer has spread
- BThey may have neutropenic sepsis, which can quickly become fatal
- CChemotherapy always causes a fever that needs no action
- DThe fever means the chemotherapy has stopped working on the cancer
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
- BNurses are not allowed to give opioids
- CThe pump only works with the patient's fingerprint
- DA drowsy patient stops pressing, which helps prevent overdose
Answer key
- 1. B · Gloves and an apron or gown
- 2. B · An abnormally slow breathing rate
- 3. A · Short sleeves and no wristwatch or stoned rings during care
- 4. C · Stop the transfusion and call for urgent medical help
- 5. A · A fall in blood pressure on standing up, often causing dizziness
- 6. D · Electric clippers on the day of surgery
- 7. B · They may have neutropenic sepsis, which can quickly become fatal
- 8. D · A drowsy patient stops pressing, which helps prevent overdose
Full step-by-step solutions: practise this topic on examproblems.com.