1.Easy
How should a mistake in a handwritten nursing record be corrected?
- ACover it with correction fluid and write the right entry over it
- BDraw a single line through it, then sign and date the correction
- CScribble over it until it cannot be read
- DTear out the page and rewrite the whole entry
2.Easy
Which symptoms are typical of high blood glucose (hyperglycaemia)?
- AThirst, passing a lot of urine and tiredness
- BItchy rash, wheeze and swollen lips
- CSlow pulse, cold skin and shivering
- DShaking, sweating and a fast, pounding heartbeat
3.Easy
Which type of mattress helps prevent pressure ulcers in high-risk patients?
- AA mattress with extra blankets on top
- BA thin foam pad placed on the floor
- CA pressure-redistributing mattress
- DA firm mattress with a plastic cover only
4.Medium
When should blood cultures be taken in a patient with suspected sepsis?
- AOnly after three days of antibiotics, to see if they are working
- BBefore antibiotics are given, as long as this does not delay them
- COnly if the temperature rises above 40 °C
- DAfter the patient has recovered from the infection
5.Medium
Which position is recommended to reduce pressure on the sacrum and hips when a patient lies on their side?
- ASitting upright in bed for many hours
- BLying directly on the hip at 90 degrees
- CA 30-degree tilt supported with pillows
- DLying flat on the back with the head raised steeply
6.Medium
A patient starts regular morphine. What is usually prescribed alongside it to prevent a common side effect?
- AAn antihistamine
- BA diuretic
- CAn antibiotic
- DA laxative
7.Hard
Before giving a PRN dose of oral morphine, which assessment is most important?
- AThe patient's weight and height, recorded on admission
- BThe respiratory rate and level of sedation
- CThe patient's blood glucose level
- DThe patient's last bowel movement
8.Hard
An older patient two days after surgery suddenly becomes confused and agitated at night. What is the priority?
- ALook for and treat underlying causes such as infection, pain, retention, constipation or medication
- BAssume it is new dementia and plan a care home move
- CRestrain the patient to the bed
- DGive a sedative and recheck in the morning
Answer key
- 1. B · Draw a single line through it, then sign and date the correction
- 2. A · Thirst, passing a lot of urine and tiredness
- 3. C · A pressure-redistributing mattress
- 4. B · Before antibiotics are given, as long as this does not delay them
- 5. C · A 30-degree tilt supported with pillows
- 6. D · A laxative
- 7. B · The respiratory rate and level of sedation
- 8. A · Look for and treat underlying causes such as infection, pain, retention, constipation or medication
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