1.Easy
What does healthy granulation tissue look like?
- AYellow, soft and stringy, like wet threads
- BRed, moist and slightly bumpy
- CWhite, shiny and swollen
- DBlack, dry and hard
2.Easy
What does an HbA1c test show?
- AThe average blood glucose over the last two to three months
- BThe amount of glucose in the urine
- CThe blood glucose at the moment of the test
- DThe amount of insulin made by the pancreas over the last week
3.Easy
In Maslow's hierarchy of needs, which needs form the base of the pyramid?
- AEsteem needs such as recognition, status and respect
- BLove and belonging
- CSelf-actualisation
- DPhysiological needs such as air, food and water
4.Medium
Which position is recommended to reduce pressure on the sacrum and hips when a patient lies on their side?
- ASitting upright in bed for many hours
- BLying flat on the back with the head raised steeply
- CA 30-degree tilt supported with pillows
- DLying directly on the hip at 90 degrees
5.Medium
A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?
- ARecord the goal as met, as the pain has gone down
- BRecord the goal as not met and review the plan
- CChange the goal to 6/10 or less so that it counts as met
- DWait until the next day to evaluate again
6.Medium
A patient's radial pulse is irregular. How should you count it?
- AFor a full 60 seconds, ideally at the apex of the heart
- BFor 15 seconds and multiply by four
- COnly on the automatic blood pressure machine
- DFor 10 seconds and multiply by six
7.Hard
An older patient's leg wound has become more painful and has a new unpleasant smell, but there is no fever. What does this suggest?
- AThe wound has dried out and needs to be left open
- BA possible wound infection that needs assessment and reporting
- CAn allergy to the dressing that needs no action
- DNormal healing, because there is no fever and the wound is still closed
8.Hard
A nurse uses SBAR to call a doctor about a breathless patient. Which item belongs under "Background"?
- AHis respiratory rate is 30 and his SpO₂ is 86% on 2 L of oxygen
- B"Please come and review him within the next 10 minutes."
- C"I am calling about Mr Smith in bed 4, who is very breathless."
- DThe patient has COPD and was admitted two days ago with pneumonia
Answer key
- 1. B · Red, moist and slightly bumpy
- 2. A · The average blood glucose over the last two to three months
- 3. D · Physiological needs such as air, food and water
- 4. C · A 30-degree tilt supported with pillows
- 5. B · Record the goal as not met and review the plan
- 6. A · For a full 60 seconds, ideally at the apex of the heart
- 7. B · A possible wound infection that needs assessment and reporting
- 8. D · The patient has COPD and was admitted two days ago with pneumonia
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