1.Easy
When is the recovery position used?
- AFor a patient in cardiac arrest
- BFor a conscious patient with chest pain
- CFor an unconscious patient who is breathing normally
- DFor a patient with a suspected broken leg only
2.Easy
What is the normal range for serum sodium in adults?
- A3.5–5.0 mmol/L
- B95–105 mmol/L
- C2.2–2.6 mmol/L
- D135–145 mmol/L
3.Easy
What is the main aim of palliative care?
- ATo care only for patients in the last hours of life
- BTo speed up death when treatment stops working
- CTo cure the illness with the most aggressive treatment available
- DTo improve quality of life for people with a life-limiting illness
4.Medium
Which combination of signs suggests a wound infection?
- AA dry scab with no pain
- BPink granulation tissue, mild serous fluid and a shrinking wound
- CMild itching as the edges close
- DIncreasing redness, warmth, swelling, pain and pus
5.Medium
Which measure is appropriate for a patient with a fever who feels hot and uncomfortable?
- AExtra blankets to make the patient sweat it out
- BRestricting fluids so the patient sweats less during the fever
- CLight bedclothes, plenty of fluids and a prescribed antipyretic
- DAn ice bath until the patient shivers
6.Medium
Why must oxygen be prescribed with a target saturation range?
- AOxygen is only allowed for surgical patients
- BOxygen is expensive and must be counted
- CIt is a drug, and too much or too little can harm the patient
- DPrescriptions are needed only for oxygen used at home, not in hospital
7.Hard
An adult patient lacks capacity to decide about a treatment and has no advance decision. How should the decision be made (England and Wales)?
- ABy the nurse alone, without involving anyone else
- BIn the patient's best interests, considering their past wishes and consulting people close to them
- CBy waiting indefinitely until the patient regains capacity, however urgent or serious the need for treatment
- DBy whatever is cheapest for the hospital
8.Hard
A patient with dementia keeps getting out of bed at night. What is the best first nursing approach?
- ARaise the bed rails and leave the patient alone
- BLook for an unmet need such as toileting, pain, hunger or thirst
- CAsk the doctor to prescribe a sedative so the patient sleeps through the night
- DTie a sheet across the bed to keep the patient in
Answer key
- 1. C · For an unconscious patient who is breathing normally
- 2. D · 135–145 mmol/L
- 3. D · To improve quality of life for people with a life-limiting illness
- 4. D · Increasing redness, warmth, swelling, pain and pus
- 5. C · Light bedclothes, plenty of fluids and a prescribed antipyretic
- 6. C · It is a drug, and too much or too little can harm the patient
- 7. B · In the patient's best interests, considering their past wishes and consulting people close to them
- 8. B · Look for an unmet need such as toileting, pain, hunger or thirst
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