1.Easy
How should a mistake in a handwritten nursing record be corrected?
- ATear out the page and rewrite the whole entry
- BDraw a single line through it, then sign and date the correction
- CCover it with correction fluid and write the right entry over it
- DScribble over it until it cannot be read
2.Easy
Which capillary blood glucose reading before a meal is within the usual target range for an adult?
- A5.5 mmol/L (99 mg/dL)
- B22.0 mmol/L (396 mg/dL)
- C14.0 mmol/L (252 mg/dL)
- D2.8 mmol/L (50 mg/dL)
3.Easy
What does serous wound exudate look like?
- ABright red and fresh, like blood from a cut
- BPink and frothy
- CClear and watery, sometimes pale yellow
- DThick, green or yellow and foul-smelling
4.Medium
Which patient is at greatest risk of injury from a heat pack?
- AA young adult with a stiff neck after sleeping in an awkward position
- BA patient with reduced sensation from diabetic neuropathy
- CA patient with period pain
- DA patient with a sore lower back after gardening
5.Medium
Which approach suits teaching an older adult with poor eyesight and mild memory problems?
- ATeaching only the family and not the patient
- BOne long session with all the information at once
- CA detailed leaflet in small print for them to read later at home
- DShort sessions, large-print materials and repeating key points
6.Medium
A patient has just died. What should the nurse find out before starting last offices?
- AWhether the patient's bills had all been paid
- BThe family's religious and cultural wishes
- CThe patient's favourite food
- DThe patient's blood group
7.Hard
Which nursing diagnosis is written in the problem–aetiology–signs (PES) format?
- AImpaired skin integrity related to immobility, as shown by a sacral wound
- BPneumonia related to a bacterial infection in the right lung
- CTurn the patient every two hours to protect the skin
- DPain related to pain, as shown by the patient saying that it hurts a lot
8.Hard
A pressure ulcer shows full-thickness tissue loss with exposed bone. How is it classified?
- ACategory 2
- BCategory 4
- CCategory 3
- DSuspected deep tissue injury
Answer key
- 1. B · Draw a single line through it, then sign and date the correction
- 2. A · 5.5 mmol/L (99 mg/dL)
- 3. C · Clear and watery, sometimes pale yellow
- 4. B · A patient with reduced sensation from diabetic neuropathy
- 5. D · Short sessions, large-print materials and repeating key points
- 6. B · The family's religious and cultural wishes
- 7. A · Impaired skin integrity related to immobility, as shown by a sacral wound
- 8. B · Category 4
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