1.Easy
What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?
- AThe patient will receive no treatment at all
- BCPR will not be attempted, but all other care continues
- CThe patient can no longer be given oxygen, fluids or antibiotics
- DThe patient must be moved to a hospice
2.Easy
In Maslow's hierarchy, which needs come directly above physiological needs?
- ALove and belonging needs
- BEsteem needs
- CSelf-actualisation needs
- DSafety and security needs
3.Easy
What is evidence-based practice?
- ADoing things the way they have always been done on the ward
- BFollowing whatever the most senior nurse on the ward prefers to do
- CUsing only the information on the drug packet
- DCombining research, clinical expertise and the patient's preferences
4.Medium
Why should enteric-coated tablets not be crushed?
- ACrushing makes the tablet taste so bitter that patients refuse it
- BCrushing makes the drug inactive in water
- CCrushing removes the coating that protects the stomach or drug
- DCrushing makes the dose roughly twice as strong as the whole tablet
5.Medium
Why is an IV giving set primed before connecting it to the patient?
- ATo check the speed of the pump
- BTo test whether the patient is allergic to the fluid
- CTo remove air from the line
- DTo warm the fluid to body temperature
6.Medium
Why must oxygen be prescribed with a target saturation range?
- AOxygen is expensive and must be counted
- BIt is a drug, and too much or too little can harm the patient
- COxygen is only allowed for surgical patients
- DPrescriptions are needed only for oxygen used at home, not in hospital
7.Hard
What is the most common cause of ABO-incompatible blood transfusions?
- AGiving blood too slowly
- BFaulty storage of blood at the wrong temperature
- CAllergies to the plastic bag
- DErrors in identifying the patient or the sample
8.Hard
Why is lifting a patient by placing your hands under their armpits (the "drag lift") considered unsafe?
- AIt can injure the patient's shoulders and the nurse's back
- BIt is only unsafe for children
- CIt is unsafe only when the patient is wearing a gown
- DIt takes too long compared with using a hoist or slide sheet
Answer key
- 1. B · CPR will not be attempted, but all other care continues
- 2. D · Safety and security needs
- 3. D · Combining research, clinical expertise and the patient's preferences
- 4. C · Crushing removes the coating that protects the stomach or drug
- 5. C · To remove air from the line
- 6. B · It is a drug, and too much or too little can harm the patient
- 7. D · Errors in identifying the patient or the sample
- 8. A · It can injure the patient's shoulders and the nurse's back
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