1.Easy
What should you do with a used needle after an injection?
- APut it straight into a sharps container without recapping
- BPut it in the general waste bin
- CLeave it on the tray and dispose of it once the procedure is over
- DRecap it carefully with both hands
2.Easy
What does "dysuria" mean?
- APain or burning when passing urine
- BLeaking urine when coughing
- CWaking at night to pass urine
- DBlood in the urine, making it pink
3.Easy
Which of these is a sign of dehydration?
- AA slow, full pulse
- BDry mucous membranes and dark urine
- CSwollen ankles
- DFrequent pale urine
4.Medium
Which nursing record entry is the best example of objective documentation?
- A"Seemed to enjoy the meal."
- B"Had a good appetite today and enjoyed lunch."
- C"Ate well, as usual."
- D"Ate half of lunch; drank 200 mL of water."
5.Medium
When measuring blood pressure, what happens if the cuff is too small for the arm?
- AThe reading is falsely high
- BThe reading is unaffected
- CThe reading is falsely low
- DOnly the diastolic value changes, downwards
6.Medium
On the first step of the WHO analgesic ladder, which drugs are used?
- ANon-opioids such as paracetamol (acetaminophen) or an NSAID
- BStrong opioids such as morphine
- CWeak opioids only, such as codeine
- DGeneral anaesthetic drugs given in low doses
7.Hard
A nurse has a needlestick injury from a used needle. What is the correct first action?
- AFinish the shift and report it the next day
- BScrub the area hard with a brush and alcohol, then report it at the end of the shift
- CLet it bleed freely, wash with soap and running water, then report it urgently
- DSuck the wound to remove the blood
8.Hard
Under the Mental Capacity Act 2005 (England and Wales), a patient with capacity makes a decision staff think is unwise. What follows?
- AThe family must be asked to make the decision instead
- BAn unwise decision on its own proves that the person lacks capacity
- CStaff may override any decision they think is unwise
- DAn unwise decision alone does not mean the person lacks capacity
Answer key
- 1. A · Put it straight into a sharps container without recapping
- 2. A · Pain or burning when passing urine
- 3. B · Dry mucous membranes and dark urine
- 4. D · "Ate half of lunch; drank 200 mL of water."
- 5. A · The reading is falsely high
- 6. A · Non-opioids such as paracetamol (acetaminophen) or an NSAID
- 7. C · Let it bleed freely, wash with soap and running water, then report it urgently
- 8. D · An unwise decision alone does not mean the person lacks capacity
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