1.Easy
Which capillary blood glucose reading before a meal is within the usual target range for an adult?
- A2.8 mmol/L (50 mg/dL)
- B5.5 mmol/L (99 mg/dL)
- C14.0 mmol/L (252 mg/dL)
- D22.0 mmol/L (396 mg/dL)
2.Easy
What is the single most important measure to prevent healthcare-associated infections?
- AHand hygiene
- BKeeping every patient in a single room
- CGiving antibiotics to all patients
- DWearing a face mask all the time
3.Easy
What does an HbA1c test show?
- AThe amount of glucose in the urine
- BThe amount of insulin made by the pancreas over the last week
- CThe blood glucose at the moment of the test
- DThe average blood glucose over the last two to three months
4.Medium
How is a pulse deficit measured?
- ATwo nurses count the apical and radial pulse at the same time for one minute
- BOne nurse counts the radial pulse twice and compares the two counts
- COne nurse counts the apical pulse for 15 seconds and multiplies by four
- DThe pulse oximeter rate is compared with the blood pressure reading
5.Medium
What is the correct order of the phases of wound healing?
- AHaemostasis, inflammation, proliferation, maturation
- BProliferation, inflammation, haemostasis, maturation
- CInflammation, haemostasis, maturation, proliferation
- DMaturation, proliferation, inflammation, haemostasis
6.Medium
A nurse gives a patient analgesia for pain. What is the next important step?
- ARecord the dose and assume the pain is gone unless the patient complains
- BWait until the next day to ask about the pain
- CGive a second dose straight away
- DReassess the pain after the drug has had time to work
7.Hard
A patient who now lacks capacity made a valid, applicable advance decision refusing a specific life-sustaining treatment. What should staff do (England and Wales)?
- AIgnore it, because only verbal wishes count
- BAsk the family to overrule it
- CFollow the advance decision and not give that treatment
- DGive the treatment because the patient cannot decide now
8.Hard
A pulse oximeter reads 82% on a patient with cold hands who is talking in full sentences with a normal respiratory rate. What is the best first action?
- ARecord the reading and recheck it at the next routine set of observations
- BIgnore the reading because the patient looks well
- CCheck the patient and probe, then warm the hand or move the probe
- DRemove any oxygen because the reading must be wrong
Answer key
- 1. B · 5.5 mmol/L (99 mg/dL)
- 2. A · Hand hygiene
- 3. D · The average blood glucose over the last two to three months
- 4. A · Two nurses count the apical and radial pulse at the same time for one minute
- 5. A · Haemostasis, inflammation, proliferation, maturation
- 6. D · Reassess the pain after the drug has had time to work
- 7. C · Follow the advance decision and not give that treatment
- 8. C · Check the patient and probe, then warm the hand or move the probe
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