1.Easy
What is the main effect of applying cold to a new sprain?
- AThe bones heal more quickly
- BThe muscles relax and stretch more easily
- CBlood vessels narrow, reducing swelling and pain
- DBlood vessels widen, bringing more blood to the area
2.Easy
Pain that has lasted for more than three months is usually called:
- AReferred pain
- BChronic pain
- CBreakthrough pain
- DAcute pain
3.Easy
How are controlled drugs such as morphine stored on a ward?
- AIn the staff room fridge
- BOn an open shelf in the treatment room
- CIn a locked controlled-drug cupboard with a register of stock
- DIn the patient's bedside locker, so they can take them when needed
4.Medium
What does the Visual Infusion Phlebitis (VIP) score assess?
- AThe speed of an infusion pump
- BThe risk of an allergic reaction to IV drugs
- CThe cannula site for signs of phlebitis
- DThe patient's eyesight before surgery
5.Medium
Which measure is appropriate for a patient with a fever who feels hot and uncomfortable?
- ALight bedclothes, plenty of fluids and a prescribed antipyretic
- BAn ice bath until the patient shivers
- CExtra blankets to make the patient sweat it out
- DRestricting fluids so the patient sweats less during the fever
6.Medium
How should the opening of a stoma bag be cut?
- AMuch larger than the stoma so that the edge never rubs against it
- BIn any shape, as long as the bag sticks
- CTo fit closely around the stoma without pressing on it
- DSmaller than the stoma so it grips it tightly
7.Hard
A patient who had a GCS of 15 this morning now opens their eyes only to voice and is confused. What should the nurse do?
- AGive a sedative to calm the confusion
- BTreat it as deterioration and escalate urgently
- CLet the patient sleep, as they are probably tired
- DRecord it and recheck at the next routine time
8.Hard
A small fire starts in a patient's room. What is the first action?
- ATry to put out the fire with water
- BGo and find the fire safety officer to ask what should be done
- CMove the patient away from immediate danger
- DOpen the windows to let out the smoke
Answer key
- 1. C · Blood vessels narrow, reducing swelling and pain
- 2. B · Chronic pain
- 3. C · In a locked controlled-drug cupboard with a register of stock
- 4. C · The cannula site for signs of phlebitis
- 5. A · Light bedclothes, plenty of fluids and a prescribed antipyretic
- 6. C · To fit closely around the stoma without pressing on it
- 7. B · Treat it as deterioration and escalate urgently
- 8. C · Move the patient away from immediate danger
Full step-by-step solutions: practise this topic on examproblems.com.