1.Easy
In a neurological assessment, what does the abbreviation PERRLA describe?
- AThe reflexes
- BThe pupils
- CThe limbs
- DThe speech
2.Easy
In a conscious adult who can communicate, what is the most reliable measure of pain?
- AThe nurse's impression of the patient's face
- BThe heart rate
- CThe patient's own report
- DThe amount of analgesia already given
3.Easy
A patient holds out their arm when the nurse brings the blood pressure cuff. What type of consent is this?
- ANo consent at all
- BVerbal consent
- CImplied consent
- DWritten consent
4.Medium
A nurse posts about an "interesting patient" on social media without naming them. Why is this a problem?
- AIt is not a problem if the account is private
- BIt is only a problem if the post also includes a photograph of the patient
- CThe patient may still be identifiable, which breaches confidentiality
- DIt is not a problem because no name was given
5.Medium
A patient cannot stand to be measured for the MUST screening tool. How can their height be estimated?
- AFrom the size of the patient's shoes
- BFrom the length of the forearm (ulna)
- CBy asking a visitor to guess
- DFrom the length of the bed
6.Medium
A patient has just died. What should the nurse find out before starting last offices?
- AThe patient's favourite food
- BThe patient's blood group
- CWhether the patient's bills had all been paid
- DThe family's religious and cultural wishes
7.Hard
A patient going home on warfarin has been taught about the drug. Which statement shows a need for further teaching?
- A"I'll report any blood in my urine or black stools."
- B"I'll keep my appointments for blood tests."
- C"I'll stop eating all green vegetables from now on."
- D"I'll try to keep the amount of green vegetables I eat steady."
8.Hard
A patient says, "I've bought nicotine patches and I'm stopping smoking on Monday." Which stage of change is this?
- AMaintenance
- BContemplation
- CAction
- DPreparation
Answer key
- 1. B · The pupils
- 2. C · The patient's own report
- 3. C · Implied consent
- 4. C · The patient may still be identifiable, which breaches confidentiality
- 5. B · From the length of the forearm (ulna)
- 6. D · The family's religious and cultural wishes
- 7. C · "I'll stop eating all green vegetables from now on."
- 8. D · Preparation
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