1.Easy
What is eschar?
- AHealthy red, bumpy new tissue in a wound
- BThick, dry, black or brown dead tissue in a wound
- CPink new skin growing in from the wound edge
- DSoft, yellow, stringy dead tissue in a wound
2.Easy
What does SpO₂ measure?
- AThe partial pressure of oxygen in arterial blood, measured by blood gas
- BThe oxygen saturation of haemoglobin, measured by pulse oximetry
- CThe breathing rate
- DThe amount of CO₂ in exhaled air
3.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
4.Medium
A patient with capacity wants to leave hospital against medical advice. What should the nurse do?
- ALock the ward door to keep the patient in until the doctor arrives
- BLet them go without telling anyone
- CExplain the risks, inform the doctor and document the discussion
- DHide the patient's clothes so they cannot leave
5.Medium
In adult basic life support, how long should the rescuer take to check for normal breathing?
- ANo more than 10 seconds
- BAs long as it takes to be certain
- CAt least one minute
- DAbout 30 seconds
6.Medium
Which behaviour shows active listening?
- AChanging the subject when emotions come up
- BLooking at the computer screen to take notes during the conversation
- CParaphrasing what the patient said to check understanding
- DPlanning your reply while the patient is talking
7.Hard
During a sterile dressing change, the nurse's sterile glove touches the bed rail. What should the nurse do?
- ARemove the gloves, perform hand hygiene and put on new sterile gloves
- BPut a second pair of sterile gloves over the first pair
- CWipe the glove with an alcohol swab and carry on with the dressing change
- DCarry on, as the bed rail was cleaned that morning
8.Hard
A pressure ulcer's base is completely covered with slough and dark eschar. How is it classified?
- ACategory 2, because it is covered
- BCategory 1, because the skin is not open
- CUnstageable, because the depth cannot be seen
- DHealed, because a scab has formed
Answer key
- 1. B · Thick, dry, black or brown dead tissue in a wound
- 2. B · The oxygen saturation of haemoglobin, measured by pulse oximetry
- 3. D · A flare of pain between regular doses of analgesia
- 4. C · Explain the risks, inform the doctor and document the discussion
- 5. A · No more than 10 seconds
- 6. C · Paraphrasing what the patient said to check understanding
- 7. A · Remove the gloves, perform hand hygiene and put on new sterile gloves
- 8. C · Unstageable, because the depth cannot be seen
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