1.Easy
In a patient lying on their back, which two areas most often develop pressure ulcers?
- AThe elbows and the ears
- BThe shoulders and the chest
- CThe sacrum and the heels
- DThe knees and the shins
2.Easy
What is the main reason patients are kept nil by mouth before a general anaesthetic?
- ATo reduce the risk of inhaling stomach contents
- BTo make the patient lose weight before surgery
- CTo make the anaesthetic drugs taste better
- DTo lower the blood pressure during the operation
3.Easy
In a neurological assessment, what does the abbreviation PERRLA describe?
- AThe speech
- BThe pupils
- CThe limbs
- DThe reflexes
4.Medium
How is a 24-hour urine collection started?
- AA sample is taken every four hours and the rest discarded
- BOnly urine passed at night is collected
- CThe first urine of the morning is discarded and the time noted, then all urine is kept
- DThe first urine of the morning is kept and the rest of the day's urine is discarded
5.Medium
What is the correct order of techniques when assessing the abdomen?
- AAuscultation, palpation, inspection, percussion
- BInspection, palpation, percussion, auscultation
- CPalpation, inspection, auscultation, percussion
- DInspection, auscultation, percussion, palpation
6.Medium
In which direction should a female patient's perineum be cleaned?
- AEither way, as long as soap is used
- BIn circles starting at the anus
- CFrom front to back
- DFrom back to front
7.Hard
An 82-year-old takes nine regular medicines and has had two falls this month. What is the most useful next step?
- AAdvise the patient to stay in bed
- BAdd a sedative to help them rest
- CAsk for a full medication review
- DStop all the medicines straight away
8.Hard
For a patient at risk of pressure ulcers, why is the head of the bed usually kept at 30 degrees or less if their condition allows?
- AHigher angles always cause breathing problems in patients who are bedbound
- BLower angles stop the patient from getting out of bed
- CHigher angles make the patient slide down, causing shear over the sacrum
- DLower angles increase blood flow to the heels
Answer key
- 1. C · The sacrum and the heels
- 2. A · To reduce the risk of inhaling stomach contents
- 3. B · The pupils
- 4. C · The first urine of the morning is discarded and the time noted, then all urine is kept
- 5. D · Inspection, auscultation, percussion, palpation
- 6. C · From front to back
- 7. C · Ask for a full medication review
- 8. C · Higher angles make the patient slide down, causing shear over the sacrum
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