1.Easy
What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?
- ACPR will not be attempted, but all other care continues
- BThe patient will receive no treatment at all
- CThe patient must be moved to a hospice
- DThe patient can no longer be given oxygen, fluids or antibiotics
2.Easy
In a patient lying on their back, which two areas most often develop pressure ulcers?
- AThe sacrum and the heels
- BThe shoulders and the chest
- CThe knees and the shins
- DThe elbows and the ears
3.Easy
Where is a sublingual tablet placed?
- AIn the back of the throat to be swallowed
- BOn top of the tongue to be chewed
- CUnder the tongue
- DBetween the cheek and the gum
4.Medium
When cleaning a surgical incision, in which direction should the nurse clean?
- AFrom the incision outwards, using a new swab for each stroke
- BFrom the surrounding skin towards the incision with one swab
- CIn circles from the outside in, reusing the swab
- DBack and forth along the incision with the same swab
5.Medium
How should an unconscious patient be positioned for mouth care?
- ASitting fully upright with the head bent forwards
- BFlat on their back with the head tilted back
- CProne with the face in the pillow
- DOn their side with the head turned, with suction ready
6.Medium
On the first step of the WHO analgesic ladder, which drugs are used?
- AWeak opioids only, such as codeine
- BStrong opioids such as morphine
- CNon-opioids such as paracetamol (acetaminophen) or an NSAID
- DGeneral anaesthetic drugs given in low doses
7.Hard
A patient with dementia keeps getting out of bed at night. What is the best first nursing approach?
- ARaise the bed rails and leave the patient alone
- BLook for an unmet need such as toileting, pain, hunger or thirst
- CAsk the doctor to prescribe a sedative so the patient sleeps through the night
- DTie a sheet across the bed to keep the patient in
8.Hard
A patient with suspected pulmonary tuberculosis has to go to the X-ray department. What is correct?
- AThe patient cannot leave the room under any circumstances
- BNo precautions are needed outside the ward
- CThe patient wears a surgical mask during transport
- DThe patient wears a respirator and staff wear nothing
Answer key
- 1. A · CPR will not be attempted, but all other care continues
- 2. A · The sacrum and the heels
- 3. C · Under the tongue
- 4. A · From the incision outwards, using a new swab for each stroke
- 5. D · On their side with the head turned, with suction ready
- 6. C · Non-opioids such as paracetamol (acetaminophen) or an NSAID
- 7. B · Look for an unmet need such as toileting, pain, hunger or thirst
- 8. C · The patient wears a surgical mask during transport
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