1.Easy
In which position is the patient's head lower than their feet?
- ALithotomy position
- BSemi-Fowler's position
- CSims' position
- DTrendelenburg position
2.Easy
Which oxygen device is most often used to give a low flow of oxygen to a comfortable patient?
- ABag-valve-mask
- BHigh-flow humidified system
- CNon-rebreather mask
- DNasal cannula
3.Easy
Which ageing change makes older adults' skin tear more easily?
- AThe skin produces more collagen
- BThe skin becomes thinner and less elastic
- CThe skin gains more fat underneath
- DThe skin becomes thicker, oilier and better at holding water
4.Medium
A patient is getting up for the first time after several days in bed. What should the nurse do first?
- AHave the patient sit on the edge of the bed for a short time before standing
- BGive the patient a large drink of water while standing
- CAsk the patient to walk to the bathroom alone
- DHelp the patient stand up quickly, so that the dizziness has less time to start
5.Medium
When opening a sterile pack on a table, which flap is opened first?
- AThe flap on your dominant side
- BAny flap, as long as you wear sterile gloves
- CThe flap furthest away from you
- DThe flap nearest to you
6.Medium
Which combination of signs suggests a wound infection?
- AMild itching as the edges close
- BPink granulation tissue, mild serous fluid and a shrinking wound
- CA dry scab with no pain
- DIncreasing redness, warmth, swelling, pain and pus
7.Hard
An 86-year-old has new confusion and a temperature of 37.1 °C. Why should infection still be considered?
- AA temperature of 37.1 °C is a fever in older adults
- BConfusion is always caused by infection in older adults
- COlder adults normally have a higher body temperature
- DOlder adults often have a weaker fever response to infection
8.Hard
A patient with capacity tells the nurse they do not want the operation their family keeps pushing for. What is the nurse's best action?
- ASupport the patient to tell the team their wishes
- BLet the family decide, as they know the patient best
- CTell the patient to follow the family's advice
- DSay nothing to avoid a conflict with the family
Answer key
- 1. D · Trendelenburg position
- 2. D · Nasal cannula
- 3. B · The skin becomes thinner and less elastic
- 4. A · Have the patient sit on the edge of the bed for a short time before standing
- 5. C · The flap furthest away from you
- 6. D · Increasing redness, warmth, swelling, pain and pus
- 7. D · Older adults often have a weaker fever response to infection
- 8. A · Support the patient to tell the team their wishes
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