1.Easy
Why is regular mouth care important for patients who are nil by mouth?
- AIt helps them to swallow tablets
- BIt prevents a dry mouth and reduces the risk of infection
- CIt replaces the need for fluids
- DIt is only needed for patients with dentures or gum disease
2.Easy
Which is a common site for an intramuscular injection in adults?
- AThe skin of the forearm
- BThe back of the hand
- CThe abdomen around the navel
- DThe deltoid muscle of the upper arm
3.Easy
What does "bradypnoea" mean?
- AAn abnormally slow breathing rate
- BBreathing that is painful
- CAn abnormally fast breathing rate
- DBreathing that stops completely
4.Medium
Using Maslow's hierarchy, which patient need should the nurse address first?
- AA patient who is short of breath after walking to the toilet
- BA patient who is worried about how the wound will look
- CA patient who wants advice on returning to work
- DA patient who feels lonely because no visitors have come
5.Medium
Why is high-flow oxygen often humidified?
- ATo make the oxygen more concentrated before it reaches the lungs
- BTo stop the airways and secretions from drying out
- CTo cool the patient's temperature
- DTo add medicine to the oxygen
6.Medium
Why should reddened skin over a bony area not be massaged?
- AMassage is only allowed when done by a physiotherapist
- BMassage makes the redness spread to other areas
- CMassage hides early signs of infection
- DMassage can damage the deeper tissues further
7.Hard
A nurse develops vomiting and diarrhoea during a norovirus outbreak. When can they usually return to work (UK guidance)?
- AThe next shift, if they feel well enough
- B48 hours after the symptoms have stopped
- CAs soon as the vomiting stops
- DAfter a full week, whatever the symptoms
8.Hard
A patient receiving chemotherapy develops a temperature of 38.3 °C. Why is this treated as an emergency?
- AThey may have neutropenic sepsis, which can quickly become fatal
- BChemotherapy always causes a fever that needs no action
- CThe fever means the chemotherapy has stopped working on the cancer
- DA fever shows the cancer has spread
Answer key
- 1. B · It prevents a dry mouth and reduces the risk of infection
- 2. D · The deltoid muscle of the upper arm
- 3. A · An abnormally slow breathing rate
- 4. A · A patient who is short of breath after walking to the toilet
- 5. B · To stop the airways and secretions from drying out
- 6. D · Massage can damage the deeper tissues further
- 7. B · 48 hours after the symptoms have stopped
- 8. A · They may have neutropenic sepsis, which can quickly become fatal
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