1.Easy
Which of these is an example of tertiary prevention?
- AVaccinating healthcare workers against hepatitis B
- BA campaign to reduce smoking in teenagers
- CCardiac rehabilitation after a heart attack
- DMeasuring blood pressure at a health check
2.Easy
What is the normal respiratory rate for a resting adult?
- A30 to 40 breaths per minute
- B6 to 10 breaths per minute
- C12 to 20 breaths per minute
- D20 to 30 breaths per minute
3.Easy
Where is the radial pulse felt?
- AOn the wrist, on the thumb side
- BOn the neck, beside the windpipe
- CIn the groin
- DOn the top of the foot
4.Medium
Under the Mental Capacity Act 2005 (England and Wales), what is the starting assumption about an adult's capacity?
- AThe adult has capacity unless it is shown that they lack it
- BOlder adults are assumed to lack capacity
- CCapacity is assumed only if a relative agrees
- DThe adult lacks capacity until a doctor has formally confirmed otherwise
5.Medium
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- AStop feeding and report for a swallowing assessment
- BLie the patient flat to rest
- CGive a drink of water to wash the food down
- DFeed more quickly so the meal is finished before they tire
6.Medium
A patient with advanced dementia cannot describe their pain. How should pain be assessed?
- ABy assuming there is no pain as long as the patient does not complain or call for help
- BWith an observational pain tool that scores behaviour such as facial expression
- CBy using the 0–10 numeric rating scale only
- DBy asking a visitor to guess the pain score
7.Hard
A nurse develops vomiting and diarrhoea during a norovirus outbreak. When can they usually return to work (UK guidance)?
- AAs soon as the vomiting stops
- B48 hours after the symptoms have stopped
- CAfter a full week, whatever the symptoms
- DThe next shift, if they feel well enough
8.Hard
Why should only the patient press the button of a patient-controlled analgesia (PCA) pump?
- AThe pump only works with the patient's fingerprint
- BA drowsy patient stops pressing, which helps prevent overdose
- CVisitors might damage the pump or change its settings if they touch it
- DNurses are not allowed to give opioids
Answer key
- 1. C · Cardiac rehabilitation after a heart attack
- 2. C · 12 to 20 breaths per minute
- 3. A · On the wrist, on the thumb side
- 4. A · The adult has capacity unless it is shown that they lack it
- 5. A · Stop feeding and report for a swallowing assessment
- 6. B · With an observational pain tool that scores behaviour such as facial expression
- 7. B · 48 hours after the symptoms have stopped
- 8. B · A drowsy patient stops pressing, which helps prevent overdose
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