1.Easy
Which of these counts as a form of restraint?
- ABed rails raised to stop the patient getting out
- BA walking frame next to the bed
- CA call bell placed within reach of the patient's hand
- DNon-slip socks on the patient's feet
2.Easy
What does SpO₂ measure?
- AThe amount of CO₂ in exhaled air
- BThe breathing rate
- CThe partial pressure of oxygen in arterial blood, measured by blood gas
- DThe oxygen saturation of haemoglobin, measured by pulse oximetry
3.Easy
What is a nursing care plan?
- AA record of the patient's visitors
- BThe hospital's plan for the year ahead
- CA list of the nurses working on each shift and their breaks
- DA written plan of a patient's needs, goals and care
4.Medium
Where in the eye should eye drops be placed?
- AInto the pocket of the lower eyelid
- BInto the inner corner of the eye only
- COnto the upper eyelid while the eye is shut
- DDirectly onto the centre of the cornea
5.Medium
A patient's radial pulse is irregular. How should you count it?
- AOnly on the automatic blood pressure machine
- BFor 15 seconds and multiply by four
- CFor 10 seconds and multiply by six
- DFor a full 60 seconds, ideally at the apex of the heart
6.Medium
A patient has just finished a glass of iced water. How should this affect taking an oral temperature?
- AAdd half a degree to the reading to correct for the drink
- BWait about 15–30 minutes, as the reading may be falsely low
- CUse the reading but only if the patient says they feel warm
- DTake it straight away, as cold drinks do not affect the mouth
7.Hard
A patient has been taught to walk with underarm crutches. Which statement shows a need for further teaching?
- A"I'll check the rubber tips regularly for wear."
- B"I'll keep the crutch tips about a step out to the side and front."
- C"I'll take my weight through my hands on the hand grips."
- D"I'll rest my weight on the tops of the crutches under my arms."
8.Hard
During tracheal suction a patient's SpO₂ falls from 95% to 85% and the heart rate drops. What should the nurse do?
- AStop suctioning and give oxygen until the patient recovers
- BInsert the catheter further into the airway
- CIncrease the suction pressure to finish faster
- DContinue until all the secretions have been removed from the airway
Answer key
- 1. A · Bed rails raised to stop the patient getting out
- 2. D · The oxygen saturation of haemoglobin, measured by pulse oximetry
- 3. D · A written plan of a patient's needs, goals and care
- 4. A · Into the pocket of the lower eyelid
- 5. D · For a full 60 seconds, ideally at the apex of the heart
- 6. B · Wait about 15–30 minutes, as the reading may be falsely low
- 7. D · "I'll rest my weight on the tops of the crutches under my arms."
- 8. A · Stop suctioning and give oxygen until the patient recovers
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