1.Easy
What is an incident report used for?
- ARecording the patient's daily observations and fluid balance
- BRecording staff holiday requests
- CRecording an event that caused or could have caused harm
- DOrdering equipment for the ward
2.Easy
What is breakthrough pain?
- APain caused by breaking a bone
- BPain felt only during physiotherapy
- CPain that goes away after a good night's sleep
- DA flare of pain between regular doses of analgesia
3.Easy
Where is a buccal medicine placed?
- AInside the nostril
- BOn the back of the tongue
- CBetween the cheek and the gum
- DUnder the tongue, where it dissolves
4.Medium
Why should insulin injection sites be rotated?
- ATo prevent lumpy fatty swelling that affects absorption
- BTo stop the patient getting used to the needle
- CBecause each site can only be used once
- DTo make the insulin work more quickly with each injection
5.Medium
A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?
- AAsk the patient to wait until a relative visits
- BWash the patient completely yourself to save time and effort
- CLeave the back and feet unwashed
- DLet the patient do what they can and help with the rest
6.Medium
Which patient goal is written in a SMART way?
- AThe patient will walk 20 metres with a frame by Friday
- BThe patient will feel better soon
- CThe patient will improve mobility
- DThe patient will try to eat more
7.Hard
Two days after surgery a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. What is the most helpful nursing action, alongside reporting it?
- AKeep the patient lying flat in bed so they can rest and save energy
- BStop all pain relief so the patient stays alert
- CEncourage deep breathing, coughing and getting out of bed
- DRestrict all fluids to dry the secretions
8.Hard
A patient says they have no pain, but grimaces and holds their side whenever they move. What should the nurse do?
- AExplore the difference gently and assess the pain further
- BTell the patient they are not being honest
- CGive the strongest analgesic available straight away
- DRecord "no pain" and take no further action
Answer key
- 1. C · Recording an event that caused or could have caused harm
- 2. D · A flare of pain between regular doses of analgesia
- 3. C · Between the cheek and the gum
- 4. A · To prevent lumpy fatty swelling that affects absorption
- 5. D · Let the patient do what they can and help with the rest
- 6. A · The patient will walk 20 metres with a frame by Friday
- 7. C · Encourage deep breathing, coughing and getting out of bed
- 8. A · Explore the difference gently and assess the pain further
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