1.Easy
What is eschar?
- APink new skin growing in from the wound edge
- BHealthy red, bumpy new tissue in a wound
- CSoft, yellow, stringy dead tissue in a wound
- DThick, dry, black or brown dead tissue in a wound
2.Easy
Which professional mainly assesses and treats swallowing problems?
- APodiatrist
- BSpeech and language therapist (speech-language pathologist)
- COccupational therapist
- DRespiratory physiotherapist
3.Easy
What does culturally sensitive care mean?
- AGiving every patient exactly the same care plan, whatever their background
- BOnly caring for patients from your own culture
- CAsking patients to follow the hospital's culture
- DRespecting the patient's beliefs and values when planning care
4.Medium
Why does long-term immobility increase the risk of kidney stones?
- AThe kidneys stop producing urine during bed rest
- BPatients on bed rest drink too much fluid
- CCalcium released from bone raises the calcium in the urine
- DLying flat makes the kidneys produce extra uric acid
5.Medium
In England and Wales, what does it mean if a child under 16 is "Gillick competent"?
- AThey are old enough to vote and drive
- BThey can refuse all treatment, whatever the risk, until they reach the age of 18
- CTheir parents must always make every decision for them
- DThey have enough understanding to consent to a particular treatment themselves
6.Medium
A patient shouts at the nurse that nobody has told them when their operation will be. What is the best first response?
- AStay calm, listen and acknowledge their frustration
- BWalk away until the patient calms down by themselves
- CTell the patient to stop shouting or leave the ward
- DArgue back that the staff are very busy
7.Hard
A postoperative wound drain that had drained little suddenly fills with bright red blood. What should the nurse do?
- ARemove the drain because it is not working
- BCheck the patient's vital signs and report it urgently
- CEmpty the drain and record it at the next routine round
- DClamp the drain and tell no one
8.Hard
An 82-year-old takes nine regular medicines and has had two falls this month. What is the most useful next step?
- AAdd a sedative to help them rest
- BStop all the medicines straight away
- CAdvise the patient to stay in bed
- DAsk for a full medication review
Answer key
- 1. D · Thick, dry, black or brown dead tissue in a wound
- 2. B · Speech and language therapist (speech-language pathologist)
- 3. D · Respecting the patient's beliefs and values when planning care
- 4. C · Calcium released from bone raises the calcium in the urine
- 5. D · They have enough understanding to consent to a particular treatment themselves
- 6. A · Stay calm, listen and acknowledge their frustration
- 7. B · Check the patient's vital signs and report it urgently
- 8. D · Ask for a full medication review
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