1.Easy
Where is the radial pulse felt?
- AOn the neck, beside the windpipe
- BIn the groin
- COn the wrist, on the thumb side
- DOn the top of the foot
2.Easy
Which of these is subjective data?
- AThe patient's skin is pale and moist
- BThe patient vomited 150 mL
- CThe patient says she feels sick
- DThe patient's temperature is 37.9 °C
3.Easy
What is the normal range for serum sodium in adults?
- A135–145 mmol/L
- B95–105 mmol/L
- C3.5–5.0 mmol/L
- D2.2–2.6 mmol/L
4.Medium
Why does long-term immobility increase the risk of kidney stones?
- ACalcium released from bone raises the calcium in the urine
- BThe kidneys stop producing urine during bed rest
- CPatients on bed rest drink too much fluid
- DLying flat makes the kidneys produce extra uric acid
5.Medium
Which combination of signs suggests a wound infection?
- APink granulation tissue, mild serous fluid and a shrinking wound
- BA dry scab with no pain
- CMild itching as the edges close
- DIncreasing redness, warmth, swelling, pain and pus
6.Medium
When measuring a wound, how is the length usually taken?
- AIn whichever direction is shortest
- BFrom the wound to the nearest joint
- CAround the edge of the wound with a tape measure
- DIn the head-to-toe direction across the longest part
7.Hard
Lying and standing blood pressure are measured. Which result meets the usual definition of orthostatic hypotension?
- AA fall in systolic pressure of 5 mmHg or more after 10 minutes of standing still
- BA fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- CA rise in heart rate of 5 beats per minute on standing
- DA rise in systolic pressure of 20 mmHg on standing
8.Hard
A patient's notes record a penicillin allergy with a rash. The new prescription is for amoxicillin. What should the nurse do?
- AWithhold it and contact the prescriber, as amoxicillin is a penicillin
- BGive half the dose and watch for a rash
- CGive an antihistamine first, then the amoxicillin
- DGive the dose, as amoxicillin is a different drug from penicillin itself
Answer key
- 1. C · On the wrist, on the thumb side
- 2. C · The patient says she feels sick
- 3. A · 135–145 mmol/L
- 4. A · Calcium released from bone raises the calcium in the urine
- 5. D · Increasing redness, warmth, swelling, pain and pus
- 6. D · In the head-to-toe direction across the longest part
- 7. B · A fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- 8. A · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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