1.Easy
In Kübler-Ross's model of grief, which stage is often described first?
- ADenial
- BBargaining
- CDepression
- DAcceptance
2.Easy
Which behaviour may show that a patient is in pain but cannot say so?
- AEating a full meal and chatting
- BGrimacing and guarding a part of the body
- CSleeping quietly and breathing slowly
- DReading a newspaper calmly
3.Easy
In the chain of infection, what is the "reservoir"?
- AThe way a microorganism leaves the body
- BThe route by which a microorganism enters the body
- CThe place where a microorganism lives and multiplies
- DThe person who is likely to become infected
4.Medium
Why should the same pain scale be used each time a patient's pain is assessed?
- ASo scores can be compared to see whether pain is improving
- BBecause only one scale is valid for adults
- CBecause using different pain scales on one patient is against the law
- DSo the patient learns the right answer to give
5.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
- CGeneral anaesthetic drugs given in low doses
- DWeak opioids only, such as codeine
6.Medium
Why is early mobilisation important for older inpatients?
- ABed rest quickly causes loss of strength and independence
- BIt lets staff change the beds more easily while patients are up
- CWalking makes older patients' bones grow longer
- DOlder patients do not need sleep during the day
7.Hard
A toddler is brought in with bruises on both cheeks and the parent's explanation does not fit the injuries. What should the nurse do?
- ADocument accurately and follow the child safeguarding procedure
- BSend the child home and phone the family next week
- CIgnore it, as children often bruise themselves
- DConfront the parent and ask them directly whether they hurt the child
8.Hard
A colleague asks the nurse to countersign the controlled drug register for a dose the nurse did not see being prepared or given. What should the nurse do?
- ASign, as the colleague is trustworthy
- BSign it later, at the end of the shift, once the colleague explains
- CSign, but only if the colleague is senior
- DRefuse, as they can only sign for what they have witnessed
Answer key
- 1. A · Denial
- 2. B · Grimacing and guarding a part of the body
- 3. C · The place where a microorganism lives and multiplies
- 4. A · So scores can be compared to see whether pain is improving
- 5. A · Non-opioids such as paracetamol (acetaminophen) or an NSAID
- 6. A · Bed rest quickly causes loss of strength and independence
- 7. A · Document accurately and follow the child safeguarding procedure
- 8. D · Refuse, as they can only sign for what they have witnessed
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