1.Easy
Which of these is one of the "rights" of medication administration?
- AThe right nurse
- BThe right ward
- CThe right colour
- DThe right route
2.Easy
Why might a patient be given thickened fluids?
- AThey have difficulty swallowing thin liquids safely
- BThey have a stomach ulcer
- CThey are allergic to water
- DThey need more calories than they can get from food
3.Easy
What is a healthcare-associated infection?
- AAn infection that is passed on only through food
- BAn infection that only affects healthcare workers
- CAn infection that develops as a result of care and was not present on admission
- DAn infection that the patient already had or was incubating when admitted to hospital
4.Medium
How can nurses help patients sleep better on a hospital ward at night?
- ADo routine tasks such as bed changes at midnight while it is quiet
- BGroup care and observations so patients are disturbed less often
- CKeep the main lights on so staff can see clearly
- DGive every patient a sleeping tablet
5.Medium
In England and Wales, what does it mean if a child under 16 is "Gillick competent"?
- AThey are old enough to vote and drive
- BThey have enough understanding to consent to a particular treatment themselves
- CTheir parents must always make every decision for them
- DThey can refuse all treatment, whatever the risk, until they reach the age of 18
6.Medium
How is a pulse deficit measured?
- AOne nurse counts the apical pulse for 15 seconds and multiplies by four
- BOne nurse counts the radial pulse twice and compares the two counts
- CThe pulse oximeter rate is compared with the blood pressure reading
- DTwo nurses count the apical and radial pulse at the same time for one minute
7.Hard
A Waterlow or Braden score is used to assess:
- ANutritional status only
- BPressure ulcer risk
- CFall risk
- DLevel of consciousness
8.Hard
A patient with COPD and a known risk of hypercapnia is acutely breathless with an SpO₂ of 82%. What is correct?
- AGive the highest oxygen flow possible and aim for 100%
- BWithhold oxygen completely, because oxygen is dangerous in COPD
- CGive controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
- DWait for an arterial blood gas result before giving any oxygen at all
Answer key
- 1. D · The right route
- 2. A · They have difficulty swallowing thin liquids safely
- 3. C · An infection that develops as a result of care and was not present on admission
- 4. B · Group care and observations so patients are disturbed less often
- 5. B · They have enough understanding to consent to a particular treatment themselves
- 6. D · Two nurses count the apical and radial pulse at the same time for one minute
- 7. B · Pressure ulcer risk
- 8. C · Give controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
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