1.Easy
What does "orthopnoea" mean?
- AA breathing rate that is slower than normal
- BBreathing that stops for short periods during sleep
- CBreathlessness that only starts after heavy exercise
- DBreathlessness when lying flat that eases on sitting up
2.Easy
What is an incident report used for?
- ARecording an event that caused or could have caused harm
- BRecording staff holiday requests
- COrdering equipment for the ward
- DRecording the patient's daily observations and fluid balance
3.Easy
A core body temperature below 35 °C is called:
- ANormothermia
- BPyrexia
- CHyperthermia
- DHypothermia
4.Medium
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- ANormal bowel function returning
- BAn infection that needs antidiarrhoeal drugs at once
- CA side effect of drinking too much water
- DFaecal impaction with overflow
5.Medium
How should a patient walk with a standard (non-wheeled) walking frame?
- ALift the frame forward, then step into it
- BLean forward on the frame and slide the feet
- CPush the frame along the floor while walking quickly
- DStep forward first, then pull the frame after
6.Medium
During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?
- AWhen the cuff is fully deflated
- BWhen the sounds become loudest
- CWhen the sounds disappear completely
- DWhen the first clear tapping sound is heard
7.Hard
Lying and standing blood pressure are measured. Which result meets the usual definition of orthostatic hypotension?
- AA rise in systolic pressure of 20 mmHg on standing
- BA fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- CA fall in systolic pressure of 5 mmHg or more after 10 minutes of standing still
- DA rise in heart rate of 5 beats per minute on standing
8.Hard
Which patient should the nurse see first?
- AA patient with a pain score of 3/10 whose analgesia is due in an hour
- BA patient who is waiting for their discharge letter and medicines
- CA patient who is asking for help to walk to the toilet now
- DA postoperative patient with SpO₂ 89% on air and a respiratory rate of 28
Answer key
- 1. D · Breathlessness when lying flat that eases on sitting up
- 2. A · Recording an event that caused or could have caused harm
- 3. D · Hypothermia
- 4. D · Faecal impaction with overflow
- 5. A · Lift the frame forward, then step into it
- 6. C · When the sounds disappear completely
- 7. B · A fall in systolic pressure of 20 mmHg or more within 3 minutes of standing
- 8. D · A postoperative patient with SpO₂ 89% on air and a respiratory rate of 28
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