1.Easy
Which ageing change makes older adults' skin tear more easily?
- AThe skin becomes thinner and less elastic
- BThe skin gains more fat underneath
- CThe skin produces more collagen
- DThe skin becomes thicker, oilier and better at holding water
2.Easy
What is a nursing care plan?
- AA written plan of a patient's needs, goals and care
- BA list of the nurses working on each shift and their breaks
- CThe hospital's plan for the year ahead
- DA record of the patient's visitors
3.Easy
An ileostomy is formed from which part of the bowel?
- AThe stomach, at the top of the gut
- BThe sigmoid colon, part of the large intestine
- CThe rectum, at the end of the bowel
- DThe ileum, part of the small intestine
4.Medium
A patient with a weak left leg walks with a stick in the right hand. What is the correct sequence?
- AMove the stick and the right leg together, then the left leg
- BMove both legs forward together first, then bring the stick level with them
- CMove the stick and the left leg forward together, then the right leg
- DMove the right leg first, then the stick, then the left leg
5.Medium
What does the Visual Infusion Phlebitis (VIP) score assess?
- AThe patient's eyesight before surgery
- BThe speed of an infusion pump
- CThe risk of an allergic reaction to IV drugs
- DThe cannula site for signs of phlebitis
6.Medium
The skin along a peripheral IV cannula is red, painful and swollen. What is the appropriate action?
- ARemove the cannula and document it, then resite if still needed
- BIncrease the infusion rate
- CCover it with a fresh dressing and continue the infusion as prescribed
- DFlush the cannula harder to clear it
7.Hard
Which newly started medication most increases an older patient's risk of falling?
- AA vitamin D supplement
- BA night-time sedative such as a benzodiazepine
- CAn emollient cream for dry skin
- DRegular paracetamol (acetaminophen) for back pain
8.Hard
Why is the level of sedation a useful early warning in a patient on opioids?
- AIncreasing sedation usually comes before respiratory depression
- BSedation means the opioid dose is too low
- CSedation only occurs after the breathing has stopped
- DSedation shows that the pain has completely gone and the dose is right
Answer key
- 1. A · The skin becomes thinner and less elastic
- 2. A · A written plan of a patient's needs, goals and care
- 3. D · The ileum, part of the small intestine
- 4. C · Move the stick and the left leg forward together, then the right leg
- 5. D · The cannula site for signs of phlebitis
- 6. A · Remove the cannula and document it, then resite if still needed
- 7. B · A night-time sedative such as a benzodiazepine
- 8. A · Increasing sedation usually comes before respiratory depression
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