1.Easy
How deep should chest compressions be in adult CPR?
- A5–6 cm
- B3–4 cm
- C1–2 cm
- D8–10 cm
2.Easy
What is an incentive spirometer used for?
- ARemoving mucus from the airway by suction
- BEncouraging slow, deep breaths to keep the lungs expanded
- CMeasuring the oxygen level in the blood before and after surgery
- DGiving inhaled medicines to the lungs
3.Easy
What does patient confidentiality mean?
- AInformation can be shared with anyone who asks, as long as they know the patient
- BInformation about the patient is shared only with those who need it for care
- COnly the doctor may know the diagnosis
- DPatients may never see their own records
4.Medium
A patient asks to see their own health records. What is correct in the UK?
- APatients can only see their records once they have been discharged
- BOnly doctors are allowed to see health records
- CPatients can see their records only with a court order
- DPatients have a legal right to request access to their records
5.Medium
During a blood transfusion the patient develops fever, rigors and back pain. What should the nurse do first?
- AFinish the bag quickly to reduce exposure
- BGive paracetamol and continue the transfusion
- CSlow the transfusion down and recheck the observations in an hour
- DStop the transfusion and call for urgent medical help
6.Medium
A patient's radial pulse is irregular. How should you count it?
- AFor 15 seconds and multiply by four
- BFor a full 60 seconds, ideally at the apex of the heart
- COnly on the automatic blood pressure machine
- DFor 10 seconds and multiply by six
7.Hard
Which feature best helps distinguish delirium from dementia?
- ADelirium always lasts for many years
- BDementia always improves once the underlying cause has been treated
- CDementia starts within hours of an infection
- DDelirium starts suddenly and attention fluctuates during the day
8.Hard
A patient with delirium tries to leave the ward at night, saying they are going home, and would be at serious risk outside. What is correct (England and Wales)?
- AGive a sedative without asking anyone
- BLet them leave, as all adults are free to go wherever they like
- CAssess capacity and, if it is lacking, act in their best interests
- DLock them in a side room until the morning for their own safety
Answer key
- 1. A · 5–6 cm
- 2. B · Encouraging slow, deep breaths to keep the lungs expanded
- 3. B · Information about the patient is shared only with those who need it for care
- 4. D · Patients have a legal right to request access to their records
- 5. D · Stop the transfusion and call for urgent medical help
- 6. B · For a full 60 seconds, ideally at the apex of the heart
- 7. D · Delirium starts suddenly and attention fluctuates during the day
- 8. C · Assess capacity and, if it is lacking, act in their best interests
Full step-by-step solutions: practise this topic on examproblems.com.