1.Easy
What are black, sticky, tar-like stools called?
- AConstipation
- BMelaena
- CHaematuria
- DSteatorrhoea
2.Easy
Which of these is an example of tertiary prevention?
- AA campaign to reduce smoking in teenagers
- BVaccinating healthcare workers against hepatitis B
- CCardiac rehabilitation after a heart attack
- DMeasuring blood pressure at a health check
3.Easy
What does patient advocacy by a nurse mean?
- ASpeaking up for the patient's rights and interests
- BDefending the hospital in complaints
- CMaking care decisions on behalf of every patient in their best interests
- DGiving legal advice to patients
4.Medium
An older patient is found to be mildly hypothermic. Which care is most appropriate?
- APutting the patient in a very hot bath straight away
- BGiving an alcoholic drink to warm them up
- CPlacing hot water bottles directly on the skin
- DGradual rewarming with blankets and warm surroundings
5.Medium
What is medicines reconciliation on admission?
- AOrdering new stock from the pharmacy
- BGetting an accurate list of the medicines taken before admission
- CCounting the tablets in the ward drug trolley at the start of each shift
- DChanging all the patient's medicines to hospital brands
6.Medium
According to Erikson, what is the main developmental task of older adulthood?
- AIntegrity versus despair
- BTrust versus mistrust
- CIdentity versus role confusion
- DIndustry versus inferiority
7.Hard
A patient asks for a same-sex nurse for intimate care because of their religious beliefs. What should the nurse do?
- ARefuse, as all nurses are equally qualified
- BArrange it where possible and record the preference in the care plan
- CTell the patient they must accept whoever is on duty
- DAgree, but only if the patient has a written note from a religious leader
8.Hard
The family of a patient with terminal cancer worries that morphine will make the patient addicted. What is the best response?
- ASuggest giving the morphine only once a day
- BExplain that addiction is uncommon when morphine is used for pain
- CTell them that addiction does not matter at this stage
- DAgree that the morphine should be stopped to protect the patient
Answer key
- 1. B · Melaena
- 2. C · Cardiac rehabilitation after a heart attack
- 3. A · Speaking up for the patient's rights and interests
- 4. D · Gradual rewarming with blankets and warm surroundings
- 5. B · Getting an accurate list of the medicines taken before admission
- 6. A · Integrity versus despair
- 7. B · Arrange it where possible and record the preference in the care plan
- 8. B · Explain that addiction is uncommon when morphine is used for pain
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