1.Easy
What does an automated external defibrillator (AED) do?
- AGives oxygen through a mask and measures how much the patient breathes
- BAnalyses the heart rhythm and delivers a shock if one is needed
- CMeasures the patient's blood pressure every minute
- DGives chest compressions automatically
2.Easy
What is the first step of the nursing process?
- APlanning
- BEvaluation
- CAssessment
- DImplementation
3.Easy
How are controlled drugs such as morphine stored on a ward?
- AOn an open shelf in the treatment room
- BIn a locked controlled-drug cupboard with a register of stock
- CIn the staff room fridge
- DIn the patient's bedside locker, so they can take them when needed
4.Medium
A patient has a temperature of 38.6 °C, heart rate 118/min, respiratory rate 24/min and new confusion. What should you suspect first?
- AHypoglycaemia only
- BDehydration from not drinking enough water only
- CNormal postoperative recovery
- DSepsis
5.Medium
Which part of the stethoscope is best for hearing low-pitched sounds such as some heart murmurs?
- AThe bell, placed lightly on the skin
- BThe bell, pressed firmly on the skin
- CThe earpieces turned backwards
- DThe diaphragm, pressed firmly on the skin
6.Medium
The skin along a peripheral IV cannula is red, painful and swollen. What is the appropriate action?
- AFlush the cannula harder to clear it
- BRemove the cannula and document it, then resite if still needed
- CIncrease the infusion rate
- DCover it with a fresh dressing and continue the infusion as prescribed
7.Hard
Five days after hip surgery, a patient suddenly becomes breathless with sharp chest pain and a fast heart rate. What should the nurse suspect?
- ANormal recovery after hip surgery
- BA chest infection developing slowly
- CAnxiety about going home
- DA pulmonary embolism
8.Hard
A patient has been taught breathing exercises before surgery. Which statement shows a need for further teaching?
- A"I'll avoid coughing so I don't hurt my stitches."
- B"I'll ask for pain relief if pain stops me breathing deeply."
- C"I'll take some slow deep breaths every hour."
- D"I'll hold a pillow over the wound when I cough."
Answer key
- 1. B · Analyses the heart rhythm and delivers a shock if one is needed
- 2. C · Assessment
- 3. B · In a locked controlled-drug cupboard with a register of stock
- 4. D · Sepsis
- 5. A · The bell, placed lightly on the skin
- 6. B · Remove the cannula and document it, then resite if still needed
- 7. D · A pulmonary embolism
- 8. A · "I'll avoid coughing so I don't hurt my stitches."
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