1.Easy
What is wound dehiscence?
- AA raised, thick scar after healing
- BPartial or complete separation of the wound edges
- CBleeding into the tissue underneath the closed wound
- DA wound that heals faster than expected
2.Easy
Which of these is an example of secondary prevention?
- AGiving a flu vaccine to an older adult
- BCervical screening to detect early changes
- CTeaching children to wash their hands
- DPhysiotherapy after a hip replacement
3.Easy
When is the recovery position used?
- AFor a patient in cardiac arrest
- BFor an unconscious patient who is breathing normally
- CFor a patient with a suspected broken leg only
- DFor a conscious patient with chest pain
4.Medium
Where should a urinary catheter drainage bag be kept?
- ABelow the level of the bladder, off the floor
- BOn the patient's abdomen
- CAbove the level of the bladder
- DOn the floor next to the bed
5.Medium
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- ALie the patient flat to rest
- BStop feeding and report for a swallowing assessment
- CGive a drink of water to wash the food down
- DFeed more quickly so the meal is finished before they tire
6.Medium
How should a nurse help a patient with severe visual impairment on admission?
- AGuide the patient by pushing them gently from behind as they walk
- BSpeak more loudly than usual
- CMove the patient's belongings around to keep the area tidy
- DIntroduce themselves, describe the room and keep items in place
7.Hard
A patient with COPD and a known risk of hypercapnia is acutely breathless with an SpO₂ of 82%. What is correct?
- AGive the highest oxygen flow possible and aim for 100%
- BWithhold oxygen completely, because oxygen is dangerous in COPD
- CGive controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
- DWait for an arterial blood gas result before giving any oxygen at all
8.Hard
A patient's NEWS2 score suddenly rises from 1 to 7. What is the appropriate response?
- AUrgent or emergency response with immediate senior clinical review
- BRecheck the observations tomorrow morning
- CContinue four-hourly observations
- DDocument it, repeat the observations and inform the doctor at the next ward round
Answer key
- 1. B · Partial or complete separation of the wound edges
- 2. B · Cervical screening to detect early changes
- 3. B · For an unconscious patient who is breathing normally
- 4. A · Below the level of the bladder, off the floor
- 5. B · Stop feeding and report for a swallowing assessment
- 6. D · Introduce themselves, describe the room and keep items in place
- 7. C · Give controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
- 8. A · Urgent or emergency response with immediate senior clinical review
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