1.Easy
What is an incident report used for?
- ARecording an event that caused or could have caused harm
- BRecording the patient's daily observations and fluid balance
- CRecording staff holiday requests
- DOrdering equipment for the ward
2.Easy
Which of these is a sign of dehydration?
- AA slow, full pulse
- BDry mucous membranes and dark urine
- CSwollen ankles
- DFrequent pale urine
3.Easy
How should a mistake in a handwritten nursing record be corrected?
- AScribble over it until it cannot be read
- BCover it with correction fluid and write the right entry over it
- CDraw a single line through it, then sign and date the correction
- DTear out the page and rewrite the whole entry
4.Medium
How should a liquid medicine be measured in a medicine cup?
- AAt eye level, reading the lowest point of the curved surface
- BFrom above, reading the highest point at the edge of the liquid
- CBy filling the cup to the very top
- DBy pouring until it looks about right
5.Medium
How can nurses help patients sleep better on a hospital ward at night?
- AGroup care and observations so patients are disturbed less often
- BKeep the main lights on so staff can see clearly
- CGive every patient a sleeping tablet
- DDo routine tasks such as bed changes at midnight while it is quiet
6.Medium
Why are many modern wound dressings designed to keep the wound moist?
- AMoist dressings never need changing
- BDry wounds never become infected
- CA moist environment supports faster healing
- DMoisture kills all bacteria in the wound
7.Hard
A severely malnourished patient is about to start feeding. Which complication is a particular risk?
- AVery high blood sodium in the first hour
- BImmediate allergic reaction to the feed
- CSudden weight gain of several kilograms of fat in the first week
- DRefeeding syndrome with low phosphate, potassium and magnesium
8.Hard
Aspirate from a newly placed nasogastric tube has a pH of 7. What should the nurse do?
- ANot use the tube and follow policy, which may mean a chest X-ray
- BPush air down the tube and listen over the stomach
- CStart the feed, as a pH of 7 confirms that the tube is in the stomach
- DFlush the tube with water and start the feed
Answer key
- 1. A · Recording an event that caused or could have caused harm
- 2. B · Dry mucous membranes and dark urine
- 3. C · Draw a single line through it, then sign and date the correction
- 4. A · At eye level, reading the lowest point of the curved surface
- 5. A · Group care and observations so patients are disturbed less often
- 6. C · A moist environment supports faster healing
- 7. D · Refeeding syndrome with low phosphate, potassium and magnesium
- 8. A · Not use the tube and follow policy, which may mean a chest X-ray
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