1.Easy
How are controlled drugs such as morphine stored on a ward?
- AIn the patient's bedside locker, so they can take them when needed
- BOn an open shelf in the treatment room
- CIn a locked controlled-drug cupboard with a register of stock
- DIn the staff room fridge
2.Easy
What does an HbA1c test show?
- AThe average blood glucose over the last two to three months
- BThe amount of insulin made by the pancreas over the last week
- CThe amount of glucose in the urine
- DThe blood glucose at the moment of the test
3.Easy
Which position is best for a conscious patient with breathing difficulty?
- ALying flat on the back
- BTrendelenburg position, with the head lower than the feet
- CSitting upright (high Fowler's position)
- DLying on the stomach
4.Medium
Which combination of signs suggests a wound infection?
- AMild itching as the edges close
- BPink granulation tissue, mild serous fluid and a shrinking wound
- CIncreasing redness, warmth, swelling, pain and pus
- DA dry scab with no pain
5.Medium
A large pressure ulcer is left open and fills in with new tissue from its base. This is called healing by:
- ADelayed intention
- BTertiary intention
- CPrimary intention
- DSecondary intention
6.Medium
How should dentures be cleaned to avoid breaking them?
- AOver an empty, hard sink so they can be seen clearly
- BBy soaking them in very hot water to sterilise them
- COver a sink lined with a towel or partly filled with water
- DWith an abrasive cleaning powder to remove stains
7.Hard
Which of these patients should the nurse attend to first?
- AA patient asking for their regular evening medicines
- BA patient with a pain score of 4/10 who had analgesia 30 minutes ago
- CA patient who wants to talk about the results of a scan
- DA patient with diabetes who is sweaty and shaky with a glucose of 2.9 mmol/L (52 mg/dL)
8.Hard
Which postoperative finding should be reported most urgently?
- ARespiratory rate 8/min and difficult to rouse
- BUrine output of 50 mL in the last hour
- CPain score of 4/10 at the wound site when moving
- DTemperature 37.4 °C on the first day
Answer key
- 1. C · In a locked controlled-drug cupboard with a register of stock
- 2. A · The average blood glucose over the last two to three months
- 3. C · Sitting upright (high Fowler's position)
- 4. C · Increasing redness, warmth, swelling, pain and pus
- 5. D · Secondary intention
- 6. C · Over a sink lined with a towel or partly filled with water
- 7. D · A patient with diabetes who is sweaty and shaky with a glucose of 2.9 mmol/L (52 mg/dL)
- 8. A · Respiratory rate 8/min and difficult to rouse
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