1.Easy
When should you check a patient's identity before giving medication?
- AEvery time, before every administration
- BOnly for intravenous drugs
- COnly on the first day of the admission, when the wristband is applied
- DOnly if the patient is confused
2.Easy
An ileostomy is formed from which part of the bowel?
- AThe ileum, part of the small intestine
- BThe stomach, at the top of the gut
- CThe sigmoid colon, part of the large intestine
- DThe rectum, at the end of the bowel
3.Easy
What is the "teach-back" method in patient education?
- AAsking the patient to explain the information back in their own words
- BRepeating the same information three times
- CTeaching the family instead of the patient
- DGiving the patient a written leaflet to read at home before the next visit
4.Medium
Which combination of signs suggests a wound infection?
- AIncreasing redness, warmth, swelling, pain and pus
- BA dry scab with no pain
- CPink granulation tissue, mild serous fluid and a shrinking wound
- DMild itching as the edges close
5.Medium
In the PQRST pain assessment, what does "Q" ask about?
- AThe quantity of analgesia the patient has already taken today
- BThe quality of the pain, such as sharp, dull or burning
- CWhether the pain is quieter at night
- DHow quickly the pain started
6.Medium
Which medicine commonly causes constipation?
- ALactulose
- BDocusate
- CCodeine
- DSenna
7.Hard
A patient's NEWS2 score suddenly rises from 1 to 7. What is the appropriate response?
- AUrgent or emergency response with immediate senior clinical review
- BRecheck the observations tomorrow morning
- CDocument it, repeat the observations and inform the doctor at the next ward round
- DContinue four-hourly observations
8.Hard
On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?
- ACategory 2
- BCategory 3
- CCategory 1
- DCategory 4
Answer key
- 1. A · Every time, before every administration
- 2. A · The ileum, part of the small intestine
- 3. A · Asking the patient to explain the information back in their own words
- 4. A · Increasing redness, warmth, swelling, pain and pus
- 5. B · The quality of the pain, such as sharp, dull or burning
- 6. C · Codeine
- 7. A · Urgent or emergency response with immediate senior clinical review
- 8. A · Category 2
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