1.Easy
An ileostomy is formed from which part of the bowel?
- AThe stomach, at the top of the gut
- BThe rectum, at the end of the bowel
- CThe sigmoid colon, part of the large intestine
- DThe ileum, part of the small intestine
2.Easy
What does "dysuria" mean?
- APain or burning when passing urine
- BBlood in the urine, making it pink
- CWaking at night to pass urine
- DLeaking urine when coughing
3.Easy
What does healthy granulation tissue look like?
- AWhite, shiny and swollen
- BRed, moist and slightly bumpy
- CBlack, dry and hard
- DYellow, soft and stringy, like wet threads
4.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive a fast-acting carbohydrate by mouth and recheck the glucose
- BGive a large meal straight away and recheck the glucose the next morning
- CGive the next dose of insulin
- DGive nothing until the doctor arrives
5.Medium
How should oxygen cylinders be stored on a ward?
- ALying loose on the floor under the bed so they cannot fall over
- BIn a warm cupboard next to the radiator
- CSecured upright in a holder or trolley, away from heat
- DStacked on top of each other in a corridor
6.Medium
Why should enteric-coated tablets not be crushed?
- ACrushing makes the tablet taste so bitter that patients refuse it
- BCrushing removes the coating that protects the stomach or drug
- CCrushing makes the dose roughly twice as strong as the whole tablet
- DCrushing makes the drug inactive in water
7.Hard
The family of a patient with terminal cancer worries that morphine will make the patient addicted. What is the best response?
- ASuggest giving the morphine only once a day
- BTell them that addiction does not matter at this stage
- CAgree that the morphine should be stopped to protect the patient
- DExplain that addiction is uncommon when morphine is used for pain
8.Hard
A patient has been taught breathing exercises before surgery. Which statement shows a need for further teaching?
- A"I'll ask for pain relief if pain stops me breathing deeply."
- B"I'll hold a pillow over the wound when I cough."
- C"I'll avoid coughing so I don't hurt my stitches."
- D"I'll take some slow deep breaths every hour."
Answer key
- 1. D · The ileum, part of the small intestine
- 2. A · Pain or burning when passing urine
- 3. B · Red, moist and slightly bumpy
- 4. A · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 5. C · Secured upright in a holder or trolley, away from heat
- 6. B · Crushing removes the coating that protects the stomach or drug
- 7. D · Explain that addiction is uncommon when morphine is used for pain
- 8. C · "I'll avoid coughing so I don't hurt my stitches."
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