1.Easy
What is delirium?
- AA sudden, fluctuating disturbance of attention and awareness
- BA normal part of ageing
- CA slowly progressive loss of memory and thinking over several years
- DA lifelong learning disability
2.Easy
What are black, sticky, tar-like stools called?
- AConstipation
- BMelaena
- CHaematuria
- DSteatorrhoea
3.Easy
Which advice is part of good sleep hygiene?
- AHave a large meal just before bed
- BUse a phone or tablet in bed until falling asleep
- CTake long naps late in the day
- DAvoid caffeine in the late afternoon and evening
4.Medium
How should the ear be positioned when taking a tympanic temperature in an adult?
- APush the outer ear forward against the cheek
- BLeave the ear alone and insert the probe deeply
- CGently pull the outer ear up and back
- DGently pull the outer ear down and back
5.Medium
A patient has just finished a glass of iced water. How should this affect taking an oral temperature?
- AUse the reading but only if the patient says they feel warm
- BTake it straight away, as cold drinks do not affect the mouth
- CWait about 15–30 minutes, as the reading may be falsely low
- DAdd half a degree to the reading to correct for the drink
6.Medium
When giving several medicines through a feeding tube, what is correct?
- AGive them without flushing to save time
- BGive each medicine separately and flush with water between them
- CCrush every tablet, including modified-release ones
- DMix them all together in the feed so they are given at the same time
7.Hard
A competent adult who is a Jehovah's Witness refuses a blood transfusion that the team believes is needed. Which two ethical principles are in conflict?
- AVeracity and non-maleficence
- BJustice and veracity
- CAutonomy and beneficence
- DFidelity and justice
8.Hard
A patient with severe anaemia has an SpO₂ of 98%. Why can this reading be misleading?
- APatients with anaemia always have a low true saturation
- BAnaemia makes the oximeter read about 10% higher than the true saturation
- CAnaemia damages the light sensor of the oximeter
- DThe red cells present are saturated, but the blood carries little oxygen
Answer key
- 1. A · A sudden, fluctuating disturbance of attention and awareness
- 2. B · Melaena
- 3. D · Avoid caffeine in the late afternoon and evening
- 4. C · Gently pull the outer ear up and back
- 5. C · Wait about 15–30 minutes, as the reading may be falsely low
- 6. B · Give each medicine separately and flush with water between them
- 7. C · Autonomy and beneficence
- 8. D · The red cells present are saturated, but the blood carries little oxygen
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