1.Easy
In the chain of infection, what is the "reservoir"?
- AThe way a microorganism leaves the body
- BThe place where a microorganism lives and multiplies
- CThe route by which a microorganism enters the body
- DThe person who is likely to become infected
2.Easy
Where is the apical pulse best heard in an adult?
- AAt the fifth intercostal space in the left midclavicular line
- BOver the lower end of the sternum in the midline
- CAt the second intercostal space just right of the sternum
- DAt the left side of the neck beside the windpipe
3.Easy
Which drug is the first-line treatment for anaphylaxis?
- AIntravenous antibiotics given straight away
- BIntramuscular adrenaline (epinephrine)
- COral paracetamol
- DAn oral antihistamine given on its own
4.Medium
How should adhesive tape be removed from an older patient's fragile skin?
- AAfter wetting it with alcohol rub
- BBy pulling it away from the wound as hard as possible
- CSlowly, low and close to the skin, while supporting the skin
- DQuickly in one firm pull, straight upwards and away from the skin
5.Medium
How does a nursing diagnosis differ from a medical diagnosis?
- AIt names the disease or pathology that causes the patient's symptoms
- BIt describes the patient's response to a health problem
- CIt is made by the doctor and copied by the nurse
- DIt is only used after surgery
6.Medium
In the PQRST pain assessment, what does "Q" ask about?
- AWhether the pain is quieter at night
- BThe quantity of analgesia the patient has already taken today
- CThe quality of the pain, such as sharp, dull or burning
- DHow quickly the pain started
7.Hard
A nurse develops vomiting and diarrhoea during a norovirus outbreak. When can they usually return to work (UK guidance)?
- A48 hours after the symptoms have stopped
- BAfter a full week, whatever the symptoms
- CAs soon as the vomiting stops
- DThe next shift, if they feel well enough
8.Hard
A dying patient's breathing gets deeper and faster, then shallower, followed by a pause with no breathing, in a repeating cycle. What is this pattern called?
- ABiot's breathing
- BKussmaul breathing
- CCheyne–Stokes breathing
- DParadoxical breathing
Answer key
- 1. B · The place where a microorganism lives and multiplies
- 2. A · At the fifth intercostal space in the left midclavicular line
- 3. B · Intramuscular adrenaline (epinephrine)
- 4. C · Slowly, low and close to the skin, while supporting the skin
- 5. B · It describes the patient's response to a health problem
- 6. C · The quality of the pain, such as sharp, dull or burning
- 7. A · 48 hours after the symptoms have stopped
- 8. C · Cheyne–Stokes breathing
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