1.Easy
In healthcare, hepatitis B is mainly passed on through contact with:
- ABlood
- BAir
- CIntact skin
- DFood
2.Easy
Which of these is an example of secondary prevention?
- AGiving a flu vaccine to an older adult
- BPhysiotherapy after a hip replacement
- CCervical screening to detect early changes
- DTeaching children to wash their hands
3.Easy
Why might a patient be given thickened fluids?
- AThey have a stomach ulcer
- BThey are allergic to water
- CThey need more calories than they can get from food
- DThey have difficulty swallowing thin liquids safely
4.Medium
Which patient goal is written in a SMART way?
- AThe patient will walk 20 metres with a frame by Friday
- BThe patient will try to eat more
- CThe patient will feel better soon
- DThe patient will improve mobility
5.Medium
Why are older adults at higher risk of dehydration?
- AThey lose less water through the skin
- BTheir kidneys hold on to more water
- CThey usually drink more than younger adults
- DTheir sense of thirst is often reduced
6.Medium
How is a pulse deficit measured?
- AOne nurse counts the apical pulse for 15 seconds and multiplies by four
- BOne nurse counts the radial pulse twice and compares the two counts
- CTwo nurses count the apical and radial pulse at the same time for one minute
- DThe pulse oximeter rate is compared with the blood pressure reading
7.Hard
Why must medicines for Parkinson's disease, such as levodopa, be given on time?
- ALate doses can cause severe stiffness, falls and swallowing problems
- BLate doses cause the patient to fall asleep
- CThe drug becomes poisonous if it is given late
- DThe timing does not matter as long as the full daily total is given
8.Hard
A patient wants to keep taking St John's wort, a herbal remedy, while in hospital. Why should the nurse tell the prescriber?
- AIt must be swapped for a prescribed antidepressant at once
- BIt interacts with many medicines and can reduce their effect
- CHerbal remedies are always banned in hospital
- DIt has no effects, so it is a waste of time
Answer key
- 1. A · Blood
- 2. C · Cervical screening to detect early changes
- 3. D · They have difficulty swallowing thin liquids safely
- 4. A · The patient will walk 20 metres with a frame by Friday
- 5. D · Their sense of thirst is often reduced
- 6. C · Two nurses count the apical and radial pulse at the same time for one minute
- 7. A · Late doses can cause severe stiffness, falls and swallowing problems
- 8. B · It interacts with many medicines and can reduce their effect
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