1.Easy
Which body temperature is within the normal range for an adult?
- A34.6 °C
- B39.2 °C
- C36.8 °C
- D38.4 °C
2.Easy
What does a peak flow meter measure?
- AHow fast the patient can breathe out
- BHow many breaths the patient takes per minute
- CHow much oxygen is in the blood
- DHow much carbon dioxide is breathed out
3.Easy
Which personal protective equipment should be put on first when gowning up for contact precautions?
- AFace shield, then gloves, then gown
- BShoe covers after the gloves
- CGloves
- DGown
4.Medium
Which care best protects the skin of a patient with frequent urinary incontinence?
- AScrubbing the area with soap and hot water twice a day
- BApplying talcum powder thickly after each episode
- CGentle cleansing after each episode and a barrier product
- DLeaving the skin wet so it does not dry out
5.Medium
How should the heels of a bedbound patient at high risk be protected?
- ALift them off the mattress with a pillow under the calves
- BWrap them tightly in bandages
- CRub them with cream several times a day
- DRest them on a rolled towel placed directly under each heel
6.Medium
What is the most reliable way to check that a nasogastric tube is in the stomach before use?
- ATesting aspirate pH, with a chest X-ray if needed
- BAsking the patient whether it feels right
- CListening for a "whoosh" after injecting air
- DPlacing the end of the tube in water to look for bubbles
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 drink plenty of fluids during the day."
- C"I'll eat more fruit, vegetables and wholegrains."
- D"I'll take a strong laxative every day just in case."
8.Hard
A 70 kg postoperative patient with a catheter has passed 20 mL of urine per hour for the last three hours. What is the best interpretation?
- ANormal output after surgery
- BOliguria that should be escalated, as it is below 0.5 mL/kg/h
- CPolyuria needing fluid restriction
- DA blocked catheter, which can safely be left until the morning team reviews it
Answer key
- 1. C · 36.8 °C
- 2. A · How fast the patient can breathe out
- 3. D · Gown
- 4. C · Gentle cleansing after each episode and a barrier product
- 5. A · Lift them off the mattress with a pillow under the calves
- 6. A · Testing aspirate pH, with a chest X-ray if needed
- 7. D · "I'll take a strong laxative every day just in case."
- 8. B · Oliguria that should be escalated, as it is below 0.5 mL/kg/h
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