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Name: ____________________ Date: ____________
1.Easy
What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?
AThe patient will receive no treatment at all
BThe patient can no longer be given oxygen, fluids or antibiotics
CThe patient must be moved to a hospice
DCPR will not be attempted, but all other care continues
2.Easy
Over which artery is the stethoscope placed when measuring blood pressure on the arm?
AThe carotid artery
BThe brachial artery
CThe radial artery
DThe ulnar artery
3.Easy
What is extravasation?
AA cannula that has slipped deeper into the vein
BLeakage of plain saline from the cannula into the tissue around the vein
CLeakage of an irritant (vesicant) drug into the tissue around the vein
DBleeding from the site after the cannula is removed
4.Medium
Which technique is used when inserting a urinary catheter?
ASterile technique only for male patients
BClean technique without gloves
CAseptic technique
DNo special technique is needed
5.Medium
What is informed consent?
AA signature from any family member
BA signed form that removes all liability from staff for any harm caused by the procedure
CAgreement obtained after the procedure
DVoluntary agreement by a patient with capacity, after receiving adequate information
6.Medium
What is the most reliable way to check that a nasogastric tube is in the stomach before use?
AListening for a "whoosh" after injecting air
BPlacing the end of the tube in water to look for bubbles
CAsking the patient whether it feels right
DTesting aspirate pH, with a chest X-ray if needed
7.Hard
A patient asks for a same-sex nurse for intimate care because of their religious beliefs. What should the nurse do?
ATell the patient they must accept whoever is on duty
BRefuse, as all nurses are equally qualified
CAgree, but only if the patient has a written note from a religious leader
DArrange it where possible and record the preference in the care plan
8.Hard
An older patient's leg wound has become more painful and has a new unpleasant smell, but there is no fever. What does this suggest?
ANormal healing, because there is no fever and the wound is still closed
BA possible wound infection that needs assessment and reporting
CAn allergy to the dressing that needs no action
DThe wound has dried out and needs to be left open
Answer key
1. D · CPR will not be attempted, but all other care continues
2. B · The brachial artery
3. C · Leakage of an irritant (vesicant) drug into the tissue around the vein
4. C · Aseptic technique
5. D · Voluntary agreement by a patient with capacity, after receiving adequate information
6. D · Testing aspirate pH, with a chest X-ray if needed
7. D · Arrange it where possible and record the preference in the care plan
8. B · A possible wound infection that needs assessment and reporting
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