1.Easy
What does the term "last offices" (post-mortem care) mean in nursing?
- AThe paperwork completed at the end of a shift
- BThe final ward round before discharge
- CThe last dose of medication before surgery
- DThe care of a person's body after death
2.Easy
Which temperature is generally considered a fever in adults?
- A36.5 °C or higher
- B35.5 °C or higher
- C37.0 °C or higher
- D38.0 °C or higher
3.Easy
Where is the apical pulse best heard in an adult?
- AOver the lower end of the sternum in the midline
- BAt the left side of the neck beside the windpipe
- CAt the second intercostal space just right of the sternum
- DAt the fifth intercostal space in the left midclavicular line
4.Medium
A smoker says, "I know I should stop, and I'm thinking about it some time in the next few months." Which stage of change is this?
- APrecontemplation
- BMaintenance
- CContemplation
- DPreparation
5.Medium
Which adverse effect is a particular risk with NSAIDs such as ibuprofen?
- AStomach irritation and bleeding
- BSevere constipation that lasts for weeks
- CLow blood sugar
- DBreathing slowing down
6.Medium
What is the most reliable way to check that a nasogastric tube is in the stomach before use?
- APlacing the end of the tube in water to look for bubbles
- BAsking the patient whether it feels right
- CTesting aspirate pH, with a chest X-ray if needed
- DListening for a "whoosh" after injecting air
7.Hard
On the morning of surgery, a patient who signed the consent form says they do not understand what the operation involves. What should the nurse do?
- AExplain the operation's risks themselves and go ahead
- BInform the surgeon so consent can be discussed again before surgery
- CSend the patient to theatre, as the form is already signed
- DReassure the patient that signing the form is enough for consent to be valid
8.Hard
An older woman with severe arthritis has normal bladder control but wets herself because she cannot reach the toilet in time. Which type of incontinence is this?
- AUrge incontinence
- BFunctional incontinence
- CStress incontinence
- DOverflow incontinence
Answer key
- 1. D · The care of a person's body after death
- 2. D · 38.0 °C or higher
- 3. D · At the fifth intercostal space in the left midclavicular line
- 4. C · Contemplation
- 5. A · Stomach irritation and bleeding
- 6. C · Testing aspirate pH, with a chest X-ray if needed
- 7. B · Inform the surgeon so consent can be discussed again before surgery
- 8. B · Functional incontinence
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