1.Easy
Leaving a dependent adult without food, warmth or basic care is which type of abuse?
- APsychological abuse
- BNeglect
- CFinancial abuse
- DSexual abuse
2.Easy
Which signs are typical of hypoglycaemia?
- ASweating, shaking and confusion
- BWeight gain and swollen ankles
- CThirst and passing a lot of urine
- DDry, hot skin and slow breathing
3.Easy
Which test is a typical use of an intradermal injection?
- AA dose of intravenous antibiotics
- BA dose of insulin
- CA tuberculin (Mantoux) skin test
- DA flu vaccine for adults
4.Medium
How can a patient reduce pain when coughing after abdominal surgery?
- AHold a pillow firmly against the wound while coughing
- BLie flat on their back with arms by their sides
- CCough while bending forward with no support
- DAvoid coughing completely until the stitches have been removed
5.Medium
A registered nurse delegates a task to a healthcare assistant. Who is accountable for the decision to delegate?
- AThe registered nurse
- BOnly the healthcare assistant
- CThe patient
- DNobody, once the task is handed over
6.Medium
Using Maslow's hierarchy, which patient need should the nurse address first?
- AA patient who is worried about how the wound will look
- BA patient who is short of breath after walking to the toilet
- CA patient who feels lonely because no visitors have come
- DA patient who wants advice on returning to work
7.Hard
Three days after abdominal surgery, a patient coughs and the wound opens with bowel visible. What should the nurse do first?
- APush the bowel gently back into the abdomen, then apply a firm bandage over it
- BSit the patient fully upright and ask them to cough again
- CLeave the wound uncovered so the surgeon can see it
- DCover it with sterile saline-soaked dressings and call for urgent help
8.Hard
A severely malnourished patient is about to start feeding. Which complication is a particular risk?
- ARefeeding syndrome with low phosphate, potassium and magnesium
- BImmediate allergic reaction to the feed
- CSudden weight gain of several kilograms of fat in the first week
- DVery high blood sodium in the first hour
Answer key
- 1. B · Neglect
- 2. A · Sweating, shaking and confusion
- 3. C · A tuberculin (Mantoux) skin test
- 4. A · Hold a pillow firmly against the wound while coughing
- 5. A · The registered nurse
- 6. B · A patient who is short of breath after walking to the toilet
- 7. D · Cover it with sterile saline-soaked dressings and call for urgent help
- 8. A · Refeeding syndrome with low phosphate, potassium and magnesium
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