1.Easy
What does "dysuria" mean?
- ALeaking urine when coughing
- BPain or burning when passing urine
- CWaking at night to pass urine
- DBlood in the urine, making it pink
2.Easy
What is the main purpose of a nursing handover?
- ATo pass on accurate information so care continues safely
- BTo finish the shift quickly
- CTo discuss staff rotas
- DTo record the patient's billing details
3.Easy
What is an asymptomatic carrier?
- AA person who has been vaccinated against the organism
- BA person who has fully recovered from the infection and can no longer pass it on
- CA person who has a microorganism but shows no signs of illness
- DA person with severe symptoms of infection
4.Medium
Why is hand hygiene still needed after removing gloves?
- AIt is not needed, as the gloves protected the hands
- BHand hygiene is only needed if the gloves were sterile
- CGlove powder causes skin allergies and must always be washed off the hands
- DGloves can have tiny holes and hands can be contaminated during removal
5.Medium
A caller says they are a patient's daughter and asks for details of the patient's condition. What should the nurse do?
- AGive full details, as close family members have a right to know
- BCheck the patient's wishes and the caller's identity first
- CHang up without saying anything
- DRead out the latest notes over the phone
6.Medium
A patient's hearing aid keeps whistling. What is the most likely cause?
- AIt is not fitted properly in the ear
- BThe battery is completely flat
- CThe patient's hearing has improved
- DThe volume is turned right down
7.Hard
An older patient has unexplained bruises of different ages, and the carer always answers questions for them. What should the nurse do?
- ADocument the findings and follow the local safeguarding procedure
- BDiscuss it only with the patient's neighbours
- CConfront the carer and accuse them of abuse
- DIgnore it, because older people bruise easily and the carer seems attentive
8.Hard
A patient on regular morphine is very drowsy, has pinpoint pupils and is breathing 8 times a minute. What is the priority?
- AGive a strong cup of coffee
- BCall for help, support breathing, withhold the opioid and prepare naloxone as per protocol
- CLet the patient sleep and recheck in four hours
- DGive the next morphine dose as prescribed
Answer key
- 1. B · Pain or burning when passing urine
- 2. A · To pass on accurate information so care continues safely
- 3. C · A person who has a microorganism but shows no signs of illness
- 4. D · Gloves can have tiny holes and hands can be contaminated during removal
- 5. B · Check the patient's wishes and the caller's identity first
- 6. A · It is not fitted properly in the ear
- 7. A · Document the findings and follow the local safeguarding procedure
- 8. B · Call for help, support breathing, withhold the opioid and prepare naloxone as per protocol
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