1.Easy
Which signs are typical of hypoglycaemia?
- AWeight gain and swollen ankles
- BDry, hot skin and slow breathing
- CSweating, shaking and confusion
- DThirst and passing a lot of urine
2.Easy
What is the main aim of palliative care?
- ATo cure the illness with the most aggressive treatment available
- BTo improve quality of life for people with a life-limiting illness
- CTo care only for patients in the last hours of life
- DTo speed up death when treatment stops working
3.Easy
On which side should a patient with a weak leg hold a walking stick?
- AIn front of the body with both hands
- BThe weaker side
- CEither side, it makes no difference
- DThe stronger side
4.Medium
According to Erikson, what is the main developmental task of older adulthood?
- ATrust versus mistrust
- BIndustry versus inferiority
- CIntegrity versus despair
- DIdentity versus role confusion
5.Medium
On the first step of the WHO analgesic ladder, which drugs are used?
- AStrong opioids such as morphine
- BNon-opioids such as paracetamol (acetaminophen) or an NSAID
- CGeneral anaesthetic drugs given in low doses
- DWeak opioids only, such as codeine
6.Medium
Before fitting anti-embolism stockings, what should the nurse do?
- AFit them over existing bandages or wounds
- BFit the tightest size available so the stockings give the best effect
- CChoose a size by looking at the patient's shoe size and weight
- DMeasure the legs to get the right size and check for arterial disease
7.Hard
Which simple measure helps reduce the risk of delirium in an older inpatient?
- AMoving them to a different bed every night to vary their surroundings
- BKeeping the lights on all night
- CMaking sure they have their glasses and hearing aids
- DLimiting visits from family members
8.Hard
Where must the final identity check before a blood transfusion take place?
- AAt the bedside, with the patient and their wristband
- BIn the ward office, using the patient's notes and the prescription
- CIn the blood fridge, using the bag label
- DAt the nurses' station, with the ward list
Answer key
- 1. C · Sweating, shaking and confusion
- 2. B · To improve quality of life for people with a life-limiting illness
- 3. D · The stronger side
- 4. C · Integrity versus despair
- 5. B · Non-opioids such as paracetamol (acetaminophen) or an NSAID
- 6. D · Measure the legs to get the right size and check for arterial disease
- 7. C · Making sure they have their glasses and hearing aids
- 8. A · At the bedside, with the patient and their wristband
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