1.Easy
In a neurological assessment, what does the abbreviation PERRLA describe?
- AThe reflexes
- BThe speech
- CThe pupils
- DThe limbs
2.Easy
Which of these is an open question?
- A"Are you in pain?"
- B"Did you sleep well?"
- C"How have you been feeling since yesterday?"
- D"Have you taken your tablets?"
3.Easy
What are black, sticky, tar-like stools called?
- AHaematuria
- BSteatorrhoea
- CMelaena
- DConstipation
4.Medium
How should a patient receiving tube feeding be positioned to reduce the risk of aspiration?
- AWith the head of the bed raised to about 30–45 degrees
- BLying completely flat
- CLying on the stomach
- DIn the head-down position
5.Medium
Which measure is appropriate for a patient with a fever who feels hot and uncomfortable?
- AAn ice bath until the patient shivers
- BRestricting fluids so the patient sweats less during the fever
- CLight bedclothes, plenty of fluids and a prescribed antipyretic
- DExtra blankets to make the patient sweat it out
6.Medium
A patient's hearing aid keeps whistling. What is the most likely cause?
- AThe volume is turned right down
- BThe battery is completely flat
- CThe patient's hearing has improved
- DIt is not fitted properly in the ear
7.Hard
A runner collapses on a hot day with a temperature of 40.5 °C and confusion. Why will paracetamol (acetaminophen) not help much?
- AThe heat comes from failed heat loss, not a raised set point
- BParacetamol only lowers temperature in children, not in adults
- CParacetamol needs a temperature below 37 °C to work
- DParacetamol makes the body produce more heat
8.Hard
A patient's notes record a penicillin allergy with a rash. The new prescription is for amoxicillin. What should the nurse do?
- AGive an antihistamine first, then the amoxicillin
- BGive the dose, as amoxicillin is a different drug from penicillin itself
- CWithhold it and contact the prescriber, as amoxicillin is a penicillin
- DGive half the dose and watch for a rash
Answer key
- 1. C · The pupils
- 2. C · "How have you been feeling since yesterday?"
- 3. C · Melaena
- 4. A · With the head of the bed raised to about 30–45 degrees
- 5. C · Light bedclothes, plenty of fluids and a prescribed antipyretic
- 6. D · It is not fitted properly in the ear
- 7. A · The heat comes from failed heat loss, not a raised set point
- 8. C · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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