1.Easy
Pain that has lasted for more than three months is usually called:
- AAcute pain
- BBreakthrough pain
- CChronic pain
- DReferred pain
2.Easy
In the nursing process, which step comes straight after assessment?
- AEvaluation, checking whether goals were met
- BImplementation, carrying out the care
- CNursing diagnosis, identifying the patient's problems
- DDischarge planning, deciding when the patient goes home
3.Easy
What is evidence-based practice?
- ADoing things the way they have always been done on the ward
- BCombining research, clinical expertise and the patient's preferences
- CFollowing whatever the most senior nurse on the ward prefers to do
- DUsing only the information on the drug packet
4.Medium
How should the opening of a stoma bag be cut?
- AMuch larger than the stoma so that the edge never rubs against it
- BIn any shape, as long as the bag sticks
- CTo fit closely around the stoma without pressing on it
- DSmaller than the stoma so it grips it tightly
5.Medium
If hair needs to be removed before surgery, what is recommended?
- AElectric clippers on the day of surgery
- BPlucking the hairs with tweezers
- CShaving with a razor the night before
- DHair removal cream applied in theatre
6.Medium
How is a 24-hour urine collection started?
- AA sample is taken every four hours and the rest discarded
- BThe first urine of the morning is discarded and the time noted, then all urine is kept
- COnly urine passed at night is collected
- DThe first urine of the morning is kept and the rest of the day's urine is discarded
7.Hard
A nurse uses SBAR to call a doctor about a breathless patient. Which item belongs under "Background"?
- A"Please come and review him within the next 10 minutes."
- BThe patient has COPD and was admitted two days ago with pneumonia
- C"I am calling about Mr Smith in bed 4, who is very breathless."
- DHis respiratory rate is 30 and his SpO₂ is 86% on 2 L of oxygen
8.Hard
A dying patient's breathing gets deeper and faster, then shallower, followed by a pause with no breathing, in a repeating cycle. What is this pattern called?
- ABiot's breathing
- BKussmaul breathing
- CCheyne–Stokes breathing
- DParadoxical breathing
Answer key
- 1. C · Chronic pain
- 2. C · Nursing diagnosis, identifying the patient's problems
- 3. B · Combining research, clinical expertise and the patient's preferences
- 4. C · To fit closely around the stoma without pressing on it
- 5. A · Electric clippers on the day of surgery
- 6. B · The first urine of the morning is discarded and the time noted, then all urine is kept
- 7. B · The patient has COPD and was admitted two days ago with pneumonia
- 8. C · Cheyne–Stokes breathing
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