1.Easy
Which of these is an open question?
- A"How have you been feeling since yesterday?"
- B"Did you sleep well?"
- C"Are you in pain?"
- D"Have you taken your tablets?"
2.Easy
Which signs are typical of hypoglycaemia?
- ASweating, shaking and confusion
- BWeight gain and swollen ankles
- CThirst and passing a lot of urine
- DDry, hot skin and slow breathing
3.Easy
Which of these is a non-drug method of pain relief?
- AAn anti-inflammatory gel
- BDistraction, for example with music
- CA morphine injection
- DA paracetamol (acetaminophen) tablet
4.Medium
Why should enteric-coated tablets not be crushed?
- ACrushing makes the tablet taste so bitter that patients refuse it
- BCrushing makes the drug inactive in water
- CCrushing makes the dose roughly twice as strong as the whole tablet
- DCrushing removes the coating that protects the stomach or drug
5.Medium
Which patient is at greatest risk of injury from a heat pack?
- AA patient with a sore lower back after gardening
- BA patient with reduced sensation from diabetic neuropathy
- CA young adult with a stiff neck after sleeping in an awkward position
- DA patient with period pain
6.Medium
When measuring blood pressure, what happens if the cuff is too small for the arm?
- AThe reading is falsely low
- BThe reading is falsely high
- COnly the diastolic value changes, downwards
- DThe reading is unaffected
7.Hard
A nurse realises that a dose of analgesia given two hours ago was not documented. What is correct?
- AAsk a colleague to sign that they gave it
- BWrite it now as a late entry, stating when it was given
- CWrite it in the space for two hours ago as if it was recorded then
- DLeave it out, as it is now too late to record it in the notes
8.Hard
Which of these patients should the nurse attend to first?
- AA patient with diabetes who is sweaty and shaky with a glucose of 2.9 mmol/L (52 mg/dL)
- BA patient who wants to talk about the results of a scan
- CA patient asking for their regular evening medicines
- DA patient with a pain score of 4/10 who had analgesia 30 minutes ago
Answer key
- 1. A · "How have you been feeling since yesterday?"
- 2. A · Sweating, shaking and confusion
- 3. B · Distraction, for example with music
- 4. D · Crushing removes the coating that protects the stomach or drug
- 5. B · A patient with reduced sensation from diabetic neuropathy
- 6. B · The reading is falsely high
- 7. B · Write it now as a late entry, stating when it was given
- 8. A · A patient with diabetes who is sweaty and shaky with a glucose of 2.9 mmol/L (52 mg/dL)
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