1.Easy
Which IV fluid is isotonic?
- ASterile water
- B0.9% sodium chloride
- C0.45% sodium chloride
- D3% sodium chloride
2.Easy
In the commonly taught RACE fire response, what does "R" stand for?
- ARun to the nearest exit
- BReset the fire alarm
- CRescue anyone in immediate danger
- DReport the fire at the end of the shift
3.Easy
What is the normal range for serum sodium in adults?
- A3.5–5.0 mmol/L
- B95–105 mmol/L
- C2.2–2.6 mmol/L
- D135–145 mmol/L
4.Medium
Why is high-flow oxygen often humidified?
- ATo add medicine to the oxygen
- BTo cool the patient's temperature
- CTo make the oxygen more concentrated before it reaches the lungs
- DTo stop the airways and secretions from drying out
5.Medium
The skin along a peripheral IV cannula is red, painful and swollen. What is the appropriate action?
- AIncrease the infusion rate
- BRemove the cannula and document it, then resite if still needed
- CFlush the cannula harder to clear it
- DCover it with a fresh dressing and continue the infusion as prescribed
6.Medium
A student nurse is asked to carry out a procedure they have not been trained to do. What should they do?
- AAsk the patient to talk them through it
- BExplain that they have not been trained and ask for supervision
- CDo it anyway, carefully, to avoid upsetting the team or delaying care
- DWatch a video and then do it alone
7.Hard
What is the correct action if you find a medication error that has already reached the patient?
- AWait to see whether harm develops over the next shift, and report it only if the patient's condition changes
- BCorrect the chart so the error is no longer visible
- CCheck the patient's condition, inform the prescriber and report it through the incident system
- DSay nothing if the patient seems well
8.Hard
On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?
- ACategory 3
- BCategory 4
- CCategory 2
- DCategory 1
Answer key
- 1. B · 0.9% sodium chloride
- 2. C · Rescue anyone in immediate danger
- 3. D · 135–145 mmol/L
- 4. D · To stop the airways and secretions from drying out
- 5. B · Remove the cannula and document it, then resite if still needed
- 6. B · Explain that they have not been trained and ask for supervision
- 7. C · Check the patient's condition, inform the prescriber and report it through the incident system
- 8. C · Category 2
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