1.Easy
When using a fire extinguisher with the PASS method, where should it be aimed?
- AAt the top of the flames
- BAt the smoke above the fire
- CAt the wall behind the fire
- DAt the base of the fire
2.Easy
Over which artery is the stethoscope placed when measuring blood pressure on the arm?
- AThe carotid artery
- BThe radial artery
- CThe brachial artery
- DThe ulnar artery
3.Easy
In the nursing process, which step comes straight after assessment?
- AImplementation, carrying out the care
- BEvaluation, checking whether goals were met
- CNursing diagnosis, identifying the patient's problems
- DDischarge planning, deciding when the patient goes home
4.Medium
How is capillary refill time measured?
- ACount the pulse at the wrist for 15 seconds
- BPress on the skin for about 5 seconds, release and time how long the colour takes to return
- CShine a light into the eye and watch the pupil
- DMeasure the time between two heartbeats on the cardiac monitor and compare it with the radial pulse
5.Medium
What is tolerance to an opioid?
- AA craving to take the drug for its mental effects
- BAn allergic reaction to the drug
- CNeeding a higher dose to get the same pain relief
- DFeeling no side effects at all from the drug
6.Medium
Why do nurses often count the respiratory rate while still appearing to take the pulse?
- APatients who know their breathing is watched tend to change it
- BThe pulse and breathing rates are always the same number
- CIt is not allowed to tell patients that breathing is measured
- DCounting breaths is only accurate when the wrist is held
7.Hard
A patient asks for a same-sex nurse for intimate care because of their religious beliefs. What should the nurse do?
- AArrange it where possible and record the preference in the care plan
- BRefuse, as all nurses are equally qualified
- CAgree, but only if the patient has a written note from a religious leader
- DTell the patient they must accept whoever is on duty
8.Hard
A patient has been taught how to prevent constipation. Which statement shows a need for further teaching?
- A"I'll drink plenty of fluids during the day."
- B"I'll go to the toilet when I first feel the urge."
- C"I'll take a strong laxative every day just in case."
- D"I'll eat more fruit, vegetables and wholegrains."
Answer key
- 1. D · At the base of the fire
- 2. C · The brachial artery
- 3. C · Nursing diagnosis, identifying the patient's problems
- 4. B · Press on the skin for about 5 seconds, release and time how long the colour takes to return
- 5. C · Needing a higher dose to get the same pain relief
- 6. A · Patients who know their breathing is watched tend to change it
- 7. A · Arrange it where possible and record the preference in the care plan
- 8. C · "I'll take a strong laxative every day just in case."
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