1.Easy
In which position is the patient's head lower than their feet?
- ASemi-Fowler's position
- BTrendelenburg position
- CLithotomy position
- DSims' position
2.Easy
In Maslow's hierarchy of needs, which needs form the base of the pyramid?
- APhysiological needs such as air, food and water
- BEsteem needs such as recognition, status and respect
- CSelf-actualisation
- DLove and belonging
3.Easy
What is IV infiltration?
- AAn infection of the blood from the cannula
- BInflammation of the vein wall caused by irritation from the cannula
- CA blood clot forming at the tip of the cannula
- DLeakage of a non-irritant fluid into the tissue around the vein
4.Medium
How is pitting oedema checked?
- APress on the nail bed and time the return of colour
- BPinch the skin on the back of the hand and see how fast it falls back
- CMeasure the width of both calves with a tape measure once a week and compare them
- DPress over a bony area such as the shin for a few seconds and look for a dent
5.Medium
Before fitting anti-embolism stockings, what should the nurse do?
- AFit the tightest size available so the stockings give the best effect
- BChoose a size by looking at the patient's shoe size and weight
- CMeasure the legs to get the right size and check for arterial disease
- DFit them over existing bandages or wounds
6.Medium
When using a metered-dose inhaler without a spacer, what should the patient do straight after inhaling the dose?
- ARinse the mouth before breathing in
- BHold their breath for about 10 seconds
- CTake another dose at once without pausing
- DBreathe out hard through the mouthpiece
7.Hard
Which postoperative finding should be reported most urgently?
- AUrine output of 50 mL in the last hour
- BPain score of 4/10 at the wound site when moving
- CRespiratory rate 8/min and difficult to rouse
- DTemperature 37.4 °C on the first day
8.Hard
A patient with type 1 diabetes is vomiting and not eating. Which advice is correct?
- AStop all insulin until eating normally again
- BDrink only sugar-free fluids and stop testing for ketones until better
- CKeep taking basal insulin and check glucose and ketones more often
- DHalve every dose and stop testing the glucose
Answer key
- 1. B · Trendelenburg position
- 2. A · Physiological needs such as air, food and water
- 3. D · Leakage of a non-irritant fluid into the tissue around the vein
- 4. D · Press over a bony area such as the shin for a few seconds and look for a dent
- 5. C · Measure the legs to get the right size and check for arterial disease
- 6. B · Hold their breath for about 10 seconds
- 7. C · Respiratory rate 8/min and difficult to rouse
- 8. C · Keep taking basal insulin and check glucose and ketones more often
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