1.Easy
Why is regular mouth care important for patients who are nil by mouth?
- AIt prevents a dry mouth and reduces the risk of infection
- BIt replaces the need for fluids
- CIt is only needed for patients with dentures or gum disease
- DIt helps them to swallow tablets
2.Easy
What are passive range-of-motion exercises?
- AThe patient moves their own joints through their full range without any help
- BThe patient walks a set distance each day
- CThe nurse moves the patient's joints without the patient's effort
- DThe patient lifts weights to build muscle strength
3.Easy
What are black, sticky, tar-like stools called?
- AMelaena
- BConstipation
- CHaematuria
- DSteatorrhoea
4.Medium
What is medicines reconciliation on admission?
- ACounting the tablets in the ward drug trolley at the start of each shift
- BGetting an accurate list of the medicines taken before admission
- COrdering new stock from the pharmacy
- DChanging all the patient's medicines to hospital brands
5.Medium
Why should enteric-coated tablets not be crushed?
- ACrushing makes the dose roughly twice as strong as the whole tablet
- BCrushing removes the coating that protects the stomach or drug
- CCrushing makes the drug inactive in water
- DCrushing makes the tablet taste so bitter that patients refuse it
6.Medium
Why is a patient with a suspected spinal injury moved by log-rolling?
- AIt is the fastest way to turn any patient, whatever their condition
- BIt reduces the number of staff needed
- CIt keeps the head, neck and spine aligned as one unit
- DIt lets the patient help with the turn
7.Hard
A postoperative wound drain that had drained little suddenly fills with bright red blood. What should the nurse do?
- AEmpty the drain and record it at the next routine round
- BRemove the drain because it is not working
- CCheck the patient's vital signs and report it urgently
- DClamp the drain and tell no one
8.Hard
According to the gate control theory, why can rubbing a bumped elbow ease the pain?
- ARubbing makes the elbow numb by stopping its blood supply
- BTouch signals reduce pain signals passing up the spinal cord
- CRubbing removes the damaged tissue from the elbow
- DRubbing increases the release of pain chemicals so the nerves tire out
Answer key
- 1. A · It prevents a dry mouth and reduces the risk of infection
- 2. C · The nurse moves the patient's joints without the patient's effort
- 3. A · Melaena
- 4. B · Getting an accurate list of the medicines taken before admission
- 5. B · Crushing removes the coating that protects the stomach or drug
- 6. C · It keeps the head, neck and spine aligned as one unit
- 7. C · Check the patient's vital signs and report it urgently
- 8. B · Touch signals reduce pain signals passing up the spinal cord
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