1.Easy
Which of these is an example of tertiary prevention?
- AVaccinating healthcare workers against hepatitis B
- BCardiac rehabilitation after a heart attack
- CMeasuring blood pressure at a health check
- DA campaign to reduce smoking in teenagers
2.Easy
What are passive range-of-motion exercises?
- AThe patient walks a set distance each day
- BThe patient lifts weights to build muscle strength
- CThe patient moves their own joints through their full range without any help
- DThe nurse moves the patient's joints without the patient's effort
3.Easy
What is eschar?
- AThick, dry, black or brown dead tissue in a wound
- BHealthy red, bumpy new tissue in a wound
- CSoft, yellow, stringy dead tissue in a wound
- DPink new skin growing in from the wound edge
4.Medium
What is informed consent?
- AVoluntary agreement by a patient with capacity, after receiving adequate information
- BA signature from any family member
- CAgreement obtained after the procedure
- DA signed form that removes all liability from staff for any harm caused by the procedure
5.Medium
When using a metered-dose inhaler without a spacer, what should the patient do straight after inhaling the dose?
- ABreathe out hard through the mouthpiece
- BTake another dose at once without pausing
- CRinse the mouth before breathing in
- DHold their breath for about 10 seconds
6.Medium
A dying patient asks to see a chaplain or religious leader. What should the nurse do?
- AArrange the visit as soon as possible
- BAsk the patient's doctor if a visit is allowed
- CTell the patient to wait until visiting hours tomorrow
- DExplain that religious matters are not part of care
7.Hard
On the morning of surgery, a patient who signed the consent form says they do not understand what the operation involves. What should the nurse do?
- AExplain the operation's risks themselves and go ahead
- BInform the surgeon so consent can be discussed again before surgery
- CReassure the patient that signing the form is enough for consent to be valid
- DSend the patient to theatre, as the form is already signed
8.Hard
A patient with heart failure weighs 2 kg more than yesterday on the same scales. What does this most likely show?
- AThe scales must have been faulty
- BThe patient has gained 2 kg of body fat
- CThe patient is becoming dehydrated
- DAbout 2 litres of fluid has been retained
Answer key
- 1. B · Cardiac rehabilitation after a heart attack
- 2. D · The nurse moves the patient's joints without the patient's effort
- 3. A · Thick, dry, black or brown dead tissue in a wound
- 4. A · Voluntary agreement by a patient with capacity, after receiving adequate information
- 5. D · Hold their breath for about 10 seconds
- 6. A · Arrange the visit as soon as possible
- 7. B · Inform the surgeon so consent can be discussed again before surgery
- 8. D · About 2 litres of fluid has been retained
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