1.Easy
In Maslow's hierarchy, which needs come directly above physiological needs?
- ASafety and security needs
- BLove and belonging needs
- CSelf-actualisation needs
- DEsteem needs
2.Easy
What is healing by primary intention?
- AHealing of a wound that needs a skin graft to close
- BHealing of an open wound that slowly fills with new tissue from its base upwards
- CHealing of a wound that was left open and closed a few days later
- DHealing of a wound whose edges are closed together, such as a sutured incision
3.Easy
Which symptoms are typical of high blood glucose (hyperglycaemia)?
- AShaking, sweating and a fast, pounding heartbeat
- BItchy rash, wheeze and swollen lips
- CSlow pulse, cold skin and shivering
- DThirst, passing a lot of urine and tiredness
4.Medium
How should a patient receiving tube feeding be positioned to reduce the risk of aspiration?
- AWith the head of the bed raised to about 30–45 degrees
- BLying on the stomach
- CLying completely flat
- DIn the head-down position
5.Medium
What does the Malnutrition Universal Screening Tool (MUST) assess?
- ASwallowing ability
- BThe risk of falling
- CThe level of pain
- DThe risk of malnutrition
6.Medium
How should the opening of a stoma bag be cut?
- AIn any shape, as long as the bag sticks
- BMuch larger than the stoma so that the edge never rubs against it
- CSmaller than the stoma so it grips it tightly
- DTo fit closely around the stoma without pressing on it
7.Hard
A recently discharged patient sends the nurse a friend request on social media. What is the most appropriate response?
- AAccept it and ask how they are getting on
- BDecline it, to keep a professional boundary
- CAccept it, since the patient has gone home
- DAccept it but only post about work
8.Hard
A severely malnourished patient is about to start feeding. Which complication is a particular risk?
- AVery high blood sodium in the first hour
- BImmediate allergic reaction to the feed
- CRefeeding syndrome with low phosphate, potassium and magnesium
- DSudden weight gain of several kilograms of fat in the first week
Answer key
- 1. A · Safety and security needs
- 2. D · Healing of a wound whose edges are closed together, such as a sutured incision
- 3. D · Thirst, passing a lot of urine and tiredness
- 4. A · With the head of the bed raised to about 30–45 degrees
- 5. D · The risk of malnutrition
- 6. D · To fit closely around the stoma without pressing on it
- 7. B · Decline it, to keep a professional boundary
- 8. C · Refeeding syndrome with low phosphate, potassium and magnesium
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