1.Easy
What does holistic nursing care mean?
- ACaring for the whole person: body, mind, social and spiritual needs
- BLeaving emotional needs to the patient's family
- CCaring only for the illness the patient was admitted to hospital with
- DGiving the same care to every patient on the ward
2.Easy
What is a nursing care plan?
- AThe hospital's plan for the year ahead
- BA record of the patient's visitors
- CA written plan of a patient's needs, goals and care
- DA list of the nurses working on each shift and their breaks
3.Easy
When is the recovery position used?
- AFor a patient with a suspected broken leg only
- BFor a patient in cardiac arrest
- CFor an unconscious patient who is breathing normally
- DFor a conscious patient with chest pain
4.Medium
When is a sputum sample for culture best collected?
- AAt any time, using saliva from the mouth
- BAfter the first few doses of antibiotics
- CIn the evening, after the patient has eaten and drunk
- DIn the morning, from a deep cough, before antibiotics start
5.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive nothing until the doctor arrives
- BGive a large meal straight away and recheck the glucose the next morning
- CGive the next dose of insulin
- DGive a fast-acting carbohydrate by mouth and recheck the glucose
6.Medium
A patient has a temperature of 38.6 °C, heart rate 118/min, respiratory rate 24/min and new confusion. What should you suspect first?
- ANormal postoperative recovery
- BHypoglycaemia only
- CSepsis
- DDehydration from not drinking enough water only
7.Hard
A patient with delirium tries to leave the ward at night, saying they are going home, and would be at serious risk outside. What is correct (England and Wales)?
- AAssess capacity and, if it is lacking, act in their best interests
- BLet them leave, as all adults are free to go wherever they like
- CGive a sedative without asking anyone
- DLock them in a side room until the morning for their own safety
8.Hard
An older patient two days after surgery suddenly becomes confused and agitated at night. What is the priority?
- AGive a sedative and recheck in the morning
- BAssume it is new dementia and plan a care home move
- CRestrain the patient to the bed
- DLook for and treat underlying causes such as infection, pain, retention, constipation or medication
Answer key
- 1. A · Caring for the whole person: body, mind, social and spiritual needs
- 2. C · A written plan of a patient's needs, goals and care
- 3. C · For an unconscious patient who is breathing normally
- 4. D · In the morning, from a deep cough, before antibiotics start
- 5. D · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 6. C · Sepsis
- 7. A · Assess capacity and, if it is lacking, act in their best interests
- 8. D · Look for and treat underlying causes such as infection, pain, retention, constipation or medication
Full step-by-step solutions: practise this topic on examproblems.com.