1.Easy
What is a wheeze?
- AA crackling sound heard over the heart
- BA harsh sound heard only when breathing in through the nose
- CA high-pitched whistling sound caused by narrowed airways
- DA low rattling sound caused by fluid in the throat
2.Easy
Which of these is an example of secondary prevention?
- AGiving a flu vaccine to an older adult
- BTeaching children to wash their hands
- CCervical screening to detect early changes
- DPhysiotherapy after a hip replacement
3.Easy
On a 0–10 numeric pain rating scale, what does 0 mean?
- AMild pain
- BNo pain
- CPain that is well controlled with medication
- DThe worst pain imaginable
4.Medium
Why should a tourniquet not be left on for a long time before taking blood?
- AIt stops the needle from entering the vein because the vein is too hard
- BIt can change the results, for example by concentrating the blood
- CIt makes the patient's arm grow stronger
- DIt makes the blood turn blue in the tube
5.Medium
How is pitting oedema checked?
- APress on the nail bed and time the return of colour
- BMeasure the width of both calves with a tape measure once a week and compare them
- CPinch the skin on the back of the hand and see how fast it falls back
- DPress over a bony area such as the shin for a few seconds and look for a dent
6.Medium
Which care best protects the skin of a patient with frequent urinary incontinence?
- AScrubbing the area with soap and hot water twice a day
- BGentle cleansing after each episode and a barrier product
- CLeaving the skin wet so it does not dry out
- DApplying talcum powder thickly after each episode
7.Hard
A patient going home on warfarin has been taught about the drug. Which statement shows a need for further teaching?
- A"I'll stop eating all green vegetables from now on."
- B"I'll report any blood in my urine or black stools."
- C"I'll try to keep the amount of green vegetables I eat steady."
- D"I'll keep my appointments for blood tests."
8.Hard
A urine culture reports a mixed growth of several organisms. What is the most likely explanation?
- AThe sample was contaminated during collection
- BThe laboratory used the wrong test
- CThe patient is resistant to all antibiotics
- DThe patient has several serious infections at once
Answer key
- 1. C · A high-pitched whistling sound caused by narrowed airways
- 2. C · Cervical screening to detect early changes
- 3. B · No pain
- 4. B · It can change the results, for example by concentrating the blood
- 5. D · Press over a bony area such as the shin for a few seconds and look for a dent
- 6. B · Gentle cleansing after each episode and a barrier product
- 7. A · "I'll stop eating all green vegetables from now on."
- 8. A · The sample was contaminated during collection
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