1.Easy
What is a wheeze?
- AA low rattling sound caused by fluid in the throat
- BA high-pitched whistling sound caused by narrowed airways
- CA crackling sound heard over the heart
- DA harsh sound heard only when breathing in through the nose
2.Easy
Before moving a patient, what should the nurse do with the bed height?
- ALower it as far as it will go to protect the nurse's back
- BAdjust it to about the nurse's waist height
- CRaise it as high as it will go
- DLeave it wherever it was
3.Easy
Which position is commonly used for giving an enema?
- ALeft side-lying (Sims') position
- BProne position
- CRight side-lying position with both knees bent
- DHigh Fowler's position
4.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive the next dose of insulin
- BGive a large meal straight away and recheck the glucose the next morning
- CGive nothing until the doctor arrives
- DGive a fast-acting carbohydrate by mouth and recheck the glucose
5.Medium
What is the main purpose of a wound drain after surgery?
- ATo give antibiotics directly into the wound until it has fully healed
- BTo keep the wound edges apart until it heals
- CTo measure the temperature inside the wound
- DTo remove fluid or blood that could collect and delay healing
6.Medium
Why are many modern wound dressings designed to keep the wound moist?
- ADry wounds never become infected
- BMoisture kills all bacteria in the wound
- CA moist environment supports faster healing
- DMoist dressings never need changing
7.Hard
An older patient has unexplained bruises of different ages, and the carer always answers questions for them. What should the nurse do?
- ADocument the findings and follow the local safeguarding procedure
- BConfront the carer and accuse them of abuse
- CDiscuss it only with the patient's neighbours
- DIgnore it, because older people bruise easily and the carer seems attentive
8.Hard
A competent adult patient asks the nurse not to tell their family about their cancer diagnosis. What should the nurse do?
- AAsk the doctor to tell the family anyway
- BTell the family, because relatives have a right to know about a serious diagnosis
- CTell the family only if they ask directly
- DRespect the request and not share the information with the family
Answer key
- 1. B · A high-pitched whistling sound caused by narrowed airways
- 2. B · Adjust it to about the nurse's waist height
- 3. A · Left side-lying (Sims') position
- 4. D · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 5. D · To remove fluid or blood that could collect and delay healing
- 6. C · A moist environment supports faster healing
- 7. A · Document the findings and follow the local safeguarding procedure
- 8. D · Respect the request and not share the information with the family
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