1.Easy
In Maslow's hierarchy of needs, which needs form the base of the pyramid?
- APhysiological needs such as air, food and water
- BLove and belonging
- CEsteem needs such as recognition, status and respect
- DSelf-actualisation
2.Easy
What is extravasation?
- ABleeding from the site after the cannula is removed
- BLeakage of plain saline from the cannula into the tissue around the vein
- CA cannula that has slipped deeper into the vein
- DLeakage of an irritant (vesicant) drug into the tissue around the vein
3.Easy
Which sign suggests an allergic reaction to a newly started antibiotic?
- AFeeling slightly thirsty
- BA small rise in appetite
- CMild tiredness in the evening
- DAn itchy, raised rash (hives)
4.Medium
When cleaning a surgical incision, in which direction should the nurse clean?
- AFrom the incision outwards, using a new swab for each stroke
- BFrom the surrounding skin towards the incision with one swab
- CBack and forth along the incision with the same swab
- DIn circles from the outside in, reusing the swab
5.Medium
Why do nurses often count the respiratory rate while still appearing to take the pulse?
- AThe pulse and breathing rates are always the same number
- BCounting breaths is only accurate when the wrist is held
- CPatients who know their breathing is watched tend to change it
- DIt is not allowed to tell patients that breathing is measured
6.Medium
How should a patient walk with a standard (non-wheeled) walking frame?
- ALean forward on the frame and slide the feet
- BLift the frame forward, then step into it
- CPush the frame along the floor while walking quickly
- DStep forward first, then pull the frame after
7.Hard
A patient has acute diarrhoea and is suspected of having Clostridioides difficile. Which combination of measures is correct?
- AWait for the lab result before taking any precautions
- BWear a respirator mask only and no gloves
- CUse alcohol hand rub only, and keep the patient in a shared bay with the curtains drawn
- DIsolate the patient, use gloves and apron, and wash hands with soap and water
8.Hard
Why should only the patient press the button of a patient-controlled analgesia (PCA) pump?
- AA drowsy patient stops pressing, which helps prevent overdose
- BThe pump only works with the patient's fingerprint
- CVisitors might damage the pump or change its settings if they touch it
- DNurses are not allowed to give opioids
Answer key
- 1. A · Physiological needs such as air, food and water
- 2. D · Leakage of an irritant (vesicant) drug into the tissue around the vein
- 3. D · An itchy, raised rash (hives)
- 4. A · From the incision outwards, using a new swab for each stroke
- 5. C · Patients who know their breathing is watched tend to change it
- 6. B · Lift the frame forward, then step into it
- 7. D · Isolate the patient, use gloves and apron, and wash hands with soap and water
- 8. A · A drowsy patient stops pressing, which helps prevent overdose
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