1.Easy
In a conscious adult who can communicate, what is the most reliable measure of pain?
- AThe patient's own report
- BThe nurse's impression of the patient's face
- CThe heart rate
- DThe amount of analgesia already given
2.Easy
Into which tissue is a subcutaneous injection given?
- AA vein
- BA large muscle
- CThe top layer of the skin
- DThe fatty tissue just under the skin
3.Easy
Which oxygen device is most often used to give a low flow of oxygen to a comfortable patient?
- ABag-valve-mask
- BNasal cannula
- CNon-rebreather mask
- DHigh-flow humidified system
4.Medium
During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?
- AWhen the first clear tapping sound is heard
- BWhen the sounds disappear completely
- CWhen the sounds become loudest
- DWhen the cuff is fully deflated
5.Medium
A smoker says, "I know I should stop, and I'm thinking about it some time in the next few months." Which stage of change is this?
- AMaintenance
- BPrecontemplation
- CContemplation
- DPreparation
6.Medium
A patient with expressive aphasia after a stroke understands speech but struggles to find words. Which approach helps most?
- ASpeak louder and more slowly than usual
- BFinish their sentences quickly for them to save them frustration
- CTalk to the family instead of the patient
- DAsk simple yes/no questions and allow plenty of time
7.Hard
A patient receiving chemotherapy develops a temperature of 38.3 °C. Why is this treated as an emergency?
- AThey may have neutropenic sepsis, which can quickly become fatal
- BThe fever means the chemotherapy has stopped working on the cancer
- CChemotherapy always causes a fever that needs no action
- DA fever shows the cancer has spread
8.Hard
How should a urine sample be taken from a patient with a urinary catheter?
- AFrom the drainage bag tap
- BFrom the sampling port, using aseptic technique
- CBy disconnecting the catheter from the bag
- DBy removing the catheter and collecting the next void
Answer key
- 1. A · The patient's own report
- 2. D · The fatty tissue just under the skin
- 3. B · Nasal cannula
- 4. B · When the sounds disappear completely
- 5. C · Contemplation
- 6. D · Ask simple yes/no questions and allow plenty of time
- 7. A · They may have neutropenic sepsis, which can quickly become fatal
- 8. B · From the sampling port, using aseptic technique
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