1. Which is not a cause of postural hypotension?
A. the time of day
B. lack of exercise
C. temperature
D. recent food intake
2. Which is not an expected side effect of lumbar tap?
A. Headache
B. Back pain
C. Swelling and bruising
D. Nausea and vomiting
3. A client was diagnosed to have infection. What is not a sign or symptom of
infection?
A. A temperature of more than 38°C
B. warm skin
C. Chills and sweats
D. Aching muscles
4. What is respiration?
A. the movement of air into and out of the lungs to continually refresh the gases
there, commonly called ‘breathing’
B. movement of oxygen from the lungs into the blood, and carbon dioxide from
the lungs into the blood, commonly called ‘gaseous exchange’
C. movement of oxygen from blood to the cells, and of carbon dioxide from the
cells to the blood
D. the transport of oxygen from the outside air to the cells within tissues, and the
transport of carbon dioxide in the opposite direction.
5. You noticed that a colleague committed a medication administration error.
Which should be done in this situation?
A. You should provide a written statement and also complete a Trust incident
form.
B. You should inform the doctor.
C. You should report this immediately to the nurse in charge.
D. You should inform the patient.
,6. A patient on your ward complains that her heart is ‘racing’ and you find that the
pulse is too fast to the manually palpate. What would your actions be?
A. Shout for help and run to collect the crash trolley.
B. patient to calm down and check her most recent set of bloods and fluid
balance.
C. A full set of observations: blood pressure, respiratory rate, oxygen saturation
and temperature. It is essential to perform a 12 lead ECG. The patient should
then be reviewed by the doctor.
D. Check baseline observations and refer to the cardiology team.
7. You are looking after a postoperative patient and when carrying out their
observations, you discover that they are tachycardic and anxious, with an
increased respiratory rate. What could be happening? What would you do?
A. The patient is showing symptoms of hypovolaemic shock. Investigate source of
fluid loss, administer fluid replacement and get medical support.
B. The patient is demonstrating symptoms of atelectasis. Administer a nebulizer,
refer to physiotherapist for assessment.
C. The patient is demonstrating symptoms of uncontrolled pain. Administer
prescribed analgesia, seek assistance from medical team.
D. The patient is demonstrating symptoms of hyperventilation. Offer
reassurance, administer oxygen.
8. Why are elderly prone to postural hypotension? Select which does not apply:
A. The baroreflex mechanisms which control heart rate and vascular resistance
decline with age.
B. Because of medications and conditions that cause hypovolaemia.
C. Because of less exercise or activities.
D. Because of a number of underlying problems with BP control.
9. When do you see problems or potential problems?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
10. A COPD patient is about to be discharged from the hospital. What is the best
health teaching to provide this patient?
A. Increase fluid intake
B. Do not use home oxygen
C. Quit smoking
D. Nebulize as needed
,11. A patient is to be subjected for surgery but the patient’s BMI is low. Where will
you refer the patient?
A. Speech and Language Therapist
B. Dietician
C. Chef
D. Family member
12. All of the staff nurses on duty noticed that a newly hired staff nurse has been
selective of her tasks. All of them thought that she has a limited knowledge of the
procedures. What should the manager do in this situation?
A. Reprimand the new staff nurse in front of everyone that what she is doing is
unacceptable.
B. Call the new nurse and talk to her privately; ask how the manager can be of help to
improve her situation.
C. Ignore the incident and just continue with what she was doing.
D. Assign someone to guide the new staff nurse until she is competent in doing her
tasks.
13. One busy day on your shift, a manager told you that all washes should be done by
10am. What would you do?
A. Follow the manager and ensure that everything is done on time.
B. Talk to the manager and tell her that the quality of care will be compromised if
washes are rushed.
C. Ignore the manager and just continue with what you are doing.
D. Provide a written statement of the incident.
14. What do you have to consider if you are obtaining a consent from the patient?
A. Understanding
B. Capacity
C. Intellect
D. Patient’s condition
15. A nurse documented on the wrong chart. What should the nurse do?
A. Immediately inform the nurse in charge and tell her to cross it all off.
B. Throw away the page
C. Write line above the writing; put your name, job title, date, and time.
D. Ignore the incident.
16. A patient is in the immediate recovery post-surgery. What should you monitor?
A. Breathing B. Temperature C. Blood loss D. Pain
, 17. You have a DM patient who is non-insulin dependent. How many portions of
fruits and vegetables will you administer per day?
A. 3 portions B. 4 portions C. 5 portions D. 6 portions
18. A newly qualified nurse is not yet well versed when it comes to documentation. A
nurse-in-charge noticed that this is the case and went to report the new nurse to
their manager. What could the newly qualified nurse have done in order to prevent
this incident?
A. Ignore the report and just continue with what she was doing.
B. She could have told the manager beforehand in order to have a support and
additional training.
C. Apologize that she was not able to inform her immediate head beforehand.
D. Ask for the policies of the hospital in relation to documentation.
19. What ABG readings will you expect among COPD patients?
A. Increased PCO2, decreased PO2
B. Decreased PCO2 & PO2
C. Increased PCO2 & PO2
D. Decreased PCO2, increased PO2
20. A patient was brought to the A&E and manifested several symptoms: loss of
intellect and memory; change in personality; loss of balance and co-ordination;
slurred speech; vision problems and blindness; and abnormal jerking movements.
Upon laboratory tests, the patient got tested positive for prions. Which disease is the
patient possibly having?
A. Acute Gastroenteritis
B. Creutzfeldt-Jakob Disease
C. HIV/AIDS
D. Hepatitis
21. All are risk factors of Coronary Artery Disease except:
A. Obesity
B. Smoking
C. High Blood Pressure
D. Female
22. When would it be beneficial to use a wound care plan?
A. On all chronic wounds
B. On all complex wounds
C. On all infected wounds
D. On every wound