1.Easy
What does "bradypnoea" mean?
- ABreathing that stops completely
- BAn abnormally slow breathing rate
- CBreathing that is painful
- DAn abnormally fast breathing rate
2.Easy
What does healthy granulation tissue look like?
- AWhite, shiny and swollen
- BBlack, dry and hard
- CRed, moist and slightly bumpy
- DYellow, soft and stringy, like wet threads
3.Easy
In a neurological assessment, what does the abbreviation PERRLA describe?
- AThe speech
- BThe limbs
- CThe reflexes
- DThe pupils
4.Medium
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- AFaecal impaction with overflow
- BA side effect of drinking too much water
- CNormal bowel function returning
- DAn infection that needs antidiarrhoeal drugs at once
5.Medium
Under the Mental Capacity Act 2005 (England and Wales), what is the starting assumption about an adult's capacity?
- ACapacity is assumed only if a relative agrees
- BOlder adults are assumed to lack capacity
- CThe adult lacks capacity until a doctor has formally confirmed otherwise
- DThe adult has capacity unless it is shown that they lack it
6.Medium
What is medicines reconciliation on admission?
- ACounting the tablets in the ward drug trolley at the start of each shift
- BChanging all the patient's medicines to hospital brands
- CGetting an accurate list of the medicines taken before admission
- DOrdering new stock from the pharmacy
7.Hard
A patient has been taught how to prevent constipation. Which statement shows a need for further teaching?
- A"I'll go to the toilet when I first feel the urge."
- B"I'll eat more fruit, vegetables and wholegrains."
- C"I'll take a strong laxative every day just in case."
- D"I'll drink plenty of fluids during the day."
8.Hard
Why is the level of sedation a useful early warning in a patient on opioids?
- ASedation only occurs after the breathing has stopped
- BSedation shows that the pain has completely gone and the dose is right
- CIncreasing sedation usually comes before respiratory depression
- DSedation means the opioid dose is too low
Answer key
- 1. B · An abnormally slow breathing rate
- 2. C · Red, moist and slightly bumpy
- 3. D · The pupils
- 4. A · Faecal impaction with overflow
- 5. D · The adult has capacity unless it is shown that they lack it
- 6. C · Getting an accurate list of the medicines taken before admission
- 7. C · "I'll take a strong laxative every day just in case."
- 8. C · Increasing sedation usually comes before respiratory depression
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