1.Easy
What is a nursing care plan?
- AA list of the nurses working on each shift and their breaks
- BA written plan of a patient's needs, goals and care
- CA record of the patient's visitors
- DThe hospital's plan for the year ahead
2.Easy
Why might a patient be given thickened fluids?
- AThey have a stomach ulcer
- BThey have difficulty swallowing thin liquids safely
- CThey need more calories than they can get from food
- DThey are allergic to water
3.Easy
Which symptoms are typical of high blood glucose (hyperglycaemia)?
- AItchy rash, wheeze and swollen lips
- BShaking, sweating and a fast, pounding heartbeat
- CSlow pulse, cold skin and shivering
- DThirst, passing a lot of urine and tiredness
4.Medium
When may a nurse share confidential information without the patient's consent?
- AWhen a journalist asks about a famous patient
- BWhen a colleague on another ward is curious
- CWhenever a relative asks for it
- DWhen it is needed to protect someone from a risk of serious harm
5.Medium
A student nurse is asked to carry out a procedure they have not been trained to do. What should they do?
- AAsk the patient to talk them through it
- BWatch a video and then do it alone
- CDo it anyway, carefully, to avoid upsetting the team or delaying care
- DExplain that they have not been trained and ask for supervision
6.Medium
What is the correct order of techniques when assessing the abdomen?
- AInspection, auscultation, percussion, palpation
- BAuscultation, palpation, inspection, percussion
- CInspection, palpation, percussion, auscultation
- DPalpation, inspection, auscultation, percussion
7.Hard
Under the Mental Capacity Act 2005 (England and Wales), which of these is part of the test of whether a person can make a decision?
- AWhether they are over 65 years old
- BWhether they can understand, retain and weigh the information and communicate a decision
- CWhether the decision they make agrees with the advice given by the doctor and the care team
- DWhether they have a diagnosis of dementia
8.Hard
Which finding suggests a patient may be developing a pressure ulcer category 1?
- AAn open blister with a red base
- BIntact skin with non-blanching redness over a bony area
- CExposed bone or tendon
- DFull-thickness skin loss with visible fat but no exposed bone
Answer key
- 1. B · A written plan of a patient's needs, goals and care
- 2. B · They have difficulty swallowing thin liquids safely
- 3. D · Thirst, passing a lot of urine and tiredness
- 4. D · When it is needed to protect someone from a risk of serious harm
- 5. D · Explain that they have not been trained and ask for supervision
- 6. A · Inspection, auscultation, percussion, palpation
- 7. B · Whether they can understand, retain and weigh the information and communicate a decision
- 8. B · Intact skin with non-blanching redness over a bony area
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