1.Easy
Which of these is subjective data?
- AThe patient's temperature is 37.9 °C
- BThe patient vomited 150 mL
- CThe patient says she feels sick
- DThe patient's skin is pale and moist
2.Easy
Which complication of long bed rest causes the foot to point downwards and stiffen in that position?
- AClub foot
- BHammer toe
- CFlat foot
- DFoot drop
3.Easy
Why is a tourniquet used when taking blood from a vein?
- AIt stops the patient feeling the needle
- BIt prevents bruising after the test
- CIt makes the veins fill and easier to find
- DIt sterilises the skin over the vein
4.Medium
A dying patient is no longer drinking and breathes through the mouth. What mouth care is most appropriate?
- AAvoid mouth care so the patient is not disturbed
- BClean the mouth only once a day with a hard toothbrush
- CGive large drinks of water every hour
- DKeep the mouth and lips moist with frequent gentle care
5.Medium
Which patient goal is written in a SMART way?
- AThe patient will improve mobility
- BThe patient will feel better soon
- CThe patient will walk 20 metres with a frame by Friday
- DThe patient will try to eat more
6.Medium
Which patient is at greatest risk of injury from a heat pack?
- AA patient with period pain
- BA patient with reduced sensation from diabetic neuropathy
- CA patient with a sore lower back after gardening
- DA young adult with a stiff neck after sleeping in an awkward position
7.Hard
A nurse realises that a dose of analgesia given two hours ago was not documented. What is correct?
- AWrite it now as a late entry, stating when it was given
- BAsk a colleague to sign that they gave it
- CLeave it out, as it is now too late to record it in the notes
- DWrite it in the space for two hours ago as if it was recorded then
8.Hard
A patient has a platelet count of 40 × 10⁹/L (40,000/mm³). Which nursing measure is appropriate?
- AEncourage contact sports to raise the count
- BGive aspirin for any headaches
- CUse a soft toothbrush and avoid IM injections where possible
- DUse a firm toothbrush and floss hard to keep the gums healthy
Answer key
- 1. C · The patient says she feels sick
- 2. D · Foot drop
- 3. C · It makes the veins fill and easier to find
- 4. D · Keep the mouth and lips moist with frequent gentle care
- 5. C · The patient will walk 20 metres with a frame by Friday
- 6. B · A patient with reduced sensation from diabetic neuropathy
- 7. A · Write it now as a late entry, stating when it was given
- 8. C · Use a soft toothbrush and avoid IM injections where possible
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