1.Easy
What is evidence-based practice?
- AUsing only the information on the drug packet
- BDoing things the way they have always been done on the ward
- CCombining research, clinical expertise and the patient's preferences
- DFollowing whatever the most senior nurse on the ward prefers to do
2.Easy
Which food is a good source of dietary fibre?
- ACheese
- BWholegrain bread
- CWhite fish such as cod
- DEggs
3.Easy
What is health literacy?
- AThe number of health books a person has read
- BA person's ability to find, understand and use health information
- CA test of a patient's reading speed
- DA nurse's knowledge of medical terms and abbreviations used in notes
4.Medium
A patient with a leg injury is climbing stairs with crutches. Which leg should go up first?
- AThe crutches always go first
- BBoth legs together
- CThe injured leg
- DThe unaffected leg
5.Medium
How should a patient receiving tube feeding be positioned to reduce the risk of aspiration?
- ALying on the stomach
- BWith the head of the bed raised to about 30–45 degrees
- CLying completely flat
- DIn the head-down position
6.Medium
When cleaning a surgical incision, in which direction should the nurse clean?
- AFrom the surrounding skin towards the incision with one swab
- BIn circles from the outside in, reusing the swab
- CFrom the incision outwards, using a new swab for each stroke
- DBack and forth along the incision with the same swab
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
- CRestrict all fluids to dry the secretions
- DEncourage deep breathing, coughing and getting out of bed
8.Hard
What should the nurse check before giving digoxin?
- AThe temperature
- BThe radial pulse for 15 seconds
- CThe apical pulse for a full minute
- DThe blood glucose level
Answer key
- 1. C · Combining research, clinical expertise and the patient's preferences
- 2. B · Wholegrain bread
- 3. B · A person's ability to find, understand and use health information
- 4. D · The unaffected leg
- 5. B · With the head of the bed raised to about 30–45 degrees
- 6. C · From the incision outwards, using a new swab for each stroke
- 7. D · Encourage deep breathing, coughing and getting out of bed
- 8. C · The apical pulse for a full minute
Full step-by-step solutions: practise this topic on examproblems.com.