1.Easy
Which infection needs airborne precautions?
- AClostridioides difficile diarrhoea
- BPulmonary tuberculosis
- CA urinary tract infection with E. coli
- DAn MRSA wound infection
2.Easy
Which ethical principle is about the patient's right to make their own decisions?
- AFidelity
- BBeneficence
- CAutonomy
- DJustice
3.Easy
Which is a common site for an intramuscular injection in adults?
- AThe abdomen around the navel
- BThe skin of the forearm
- CThe back of the hand
- DThe deltoid muscle of the upper arm
4.Medium
Which response is an example of false reassurance?
- A"What are you most concerned about?"
- B"You seem worried. Would you like to talk about it?"
- C"Don't worry, everything will be fine."
- D"I can see this is hard for you."
5.Medium
A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?
- AThat they promise to keep it secret, so the patient keeps trusting them
- BThat they will tell everyone on the ward so the patient is safe
- CThat they cannot listen to this and the patient should tell a doctor
- DThat they cannot promise secrecy if someone is at risk of harm
6.Medium
A dying patient is no longer drinking and breathes through the mouth. What mouth care is most appropriate?
- AAvoid mouth care so the patient is not disturbed
- BGive large drinks of water every hour
- CClean the mouth only once a day with a hard toothbrush
- DKeep the mouth and lips moist with frequent gentle care
7.Hard
An elderly patient on intravenous fluids becomes breathless, with crackles in the lungs and swollen ankles. What is the most likely problem?
- ANormal response to IV fluids
- BHypoglycaemia
- CDehydration
- DFluid overload
8.Hard
Two days after surgery a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. What is the most helpful nursing action, alongside reporting it?
- ARestrict all fluids to dry the secretions
- BEncourage deep breathing, coughing and getting out of bed
- CStop all pain relief so the patient stays alert
- DKeep the patient lying flat in bed so they can rest and save energy
Answer key
- 1. B · Pulmonary tuberculosis
- 2. C · Autonomy
- 3. D · The deltoid muscle of the upper arm
- 4. C · "Don't worry, everything will be fine."
- 5. D · That they cannot promise secrecy if someone is at risk of harm
- 6. D · Keep the mouth and lips moist with frequent gentle care
- 7. D · Fluid overload
- 8. B · Encourage deep breathing, coughing and getting out of bed
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