NEW
Font size
S
M
L
XL
WorksheetsPractice Questions (13/08/2025)
Total questions: 50
Worksheet time: 50mins
Name
Class
Date
1.
A patient is scheduled to undergo an Elective Surgery. What is the least thing that should be done?
a)
Assess/Obtain the patient’s understanding of, and consent to, the procedure, and a share in the decision making process
b)
Ensure pre-operative fasting, the proposed pain relief method, and expected sequelae are carried out anddiscussed
c)
Discuss the risk of operation if it won’t push through
d)
The documentation of details of any discussion in the anaesthetic record.
2.
What does assessing for no refusal means?
a)
That the person has not already refused treatment
b)
That the person cannot or is unable to refuse treatment
c)
That the person does not already have an advanced decision ON DOLS
d)
The person is already detained/ being treated under the mental health act.
3.
Recommended preoperative fasting times are:
a)
2-4 hours
b)
6-12 hours
c)
12-14 hours
4.
A patient is being prepared for a surgery and was placed on NPO. What is the purpose of NPO?
a)
Prevention of aspiration pneumonia
b)
To facilitate induction of pre-op meds
c)
For abdominal procedures
d)
To decrease production of fluids
5.
Why is it important that patients are effectively fasted prior to surgery?
a)
To reduce the risk of vomiting.
b)
To reduce the risk of reflux and inhalation of gastric contents
c)
To prevent vomiting and chest infections.
d)
To prevent the patient gagging
6.
It is important that patients are effectively fasted prior to surgery in order to:
a)
reduce the risk of vomiting
b)
reduce the risk of reflux and inhalation of gastric contents
c)
prevent vomiting and chest infections.
d)
prevent the patient gagging
7.
What are the principles of gaining informed consent prior to a planned surgery?
a)
Gaining permission for an imminent procedure by providing information in medical terms, ensuring a patient knows the potential risks and intended benefits.
b)
Gaining permission from a patient who is competent to give it, by providing information, both verbally and with written material, relating to the planned procedure, for them to read on the day of planned surgery
c)
Gaining permission from a patient who is competent to give it, by informing them about the procedure and highlighting risks if the procedure is not carried out.
d)
Gaining permission from a patient who is competent to give it, by providing information in understandable terms prior to surgery, allowing time for answering questions, and inviting voluntary participation.
8.
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
9.
Safe moving and handling of an anaesthetized patient is imperative to reduce harm to both the patient and staff. What is the minimum number of staff required to provide safe manual handling of a patient in theatre?
a)
3 (1 either side, 1 at head)
b)
5 (2 each side, 1 at head)
c)
4 (1 each side, 1 at head, 1 at feet)
d)
6 (2 each side, 1 at head, 1 at feet).
10.
How soon after surgery is the patient expected to pass urine?
a)
1-2 hour
b)
2-4 hours
c)
4-6 hours
d)
6-8 hours
11.
What serious condition is a possibility for patients positioned in the Lloyd Davies position during surgery?
a)
Stroke
b)
Cardiac arrest
c)
Compartment syndrome
d)
There are no drawbacks to the Lloyd Davies position
12.
As a registered nurse in a unit what would consider as a priority to a patient immediately post operatively?
a)
pain relief
b)
blood loss
c)
airway patency
13.
patient just had just undergone lumbar laminectomy, what is the best nursing intervention?
a)
move the body as a unit
b)
move one body part at a time
c)
move the head first and the feet last
d)
never move the patient at all
14.
A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure?
a)
Inadvertent puncture of the pleura, a blood vessel or bileduct,low bp
b)
Inadvertent puncture of the heart, oesophagus or spleen.
c)
Cardiac arrest requiring resuscitation.
d)
Inadvertent puncture of the kidney and cardiac arrest
15.
Which of the following is a severe complication during 24 hrs post liver biopsy?
a)
pain at insertion site
b)
nausea and vomiting
c)
back pain
d)
bleeding
16.
Patient is post op liver biopsy which is a sign of serious complication? (Select x 2 correct answers)
a)
CR of 104, RR=24, Temp of 37.5
b)
Nausea and vomiting
c)
Pain
d)
Bleeding
17.
A nurse assists the physician in performing liver biopsy. After the biopsy the nurse places the patient in which position?
a)
Supine
b)
Prone
c)
Left-side lying
d)
Right side lying
18.
A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure?
a)
Inadvertent puncture of the pleura, a blood vessel or bileduct
b)
Inadvertent puncture of the heart, oesophagus or spleen.
c)
Cardiac arrest requiring resuscitation
d)
Inadvertent puncture of the kidney and cardiac arrest
19.
What position should you prepare the patient in pre-op for abdominal Paracentesis?
a)
Supine
b)
Supine with head of bed elevated to 40-50cm
c)
Prone
d)
Side-lying
20.
Lumbar post op patient moving and handling
a)
Move patient as a unit
b)
Move patient close to side rails so he/she could assist herself
c)
Move with leg raised/flexed
21.
Patient is post of repair of tibia and fibula possible signs of compartment syndrome include
a)
Numbness and tingling
b)
Cool dusky toes
c)
Pain
d)
Toes swelling
e)
All of the above
22.
Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery?
a)
Skin clips
b)
Tissue adhesive
c)
Adhesive skin closure strips
d)
Interrupted suture
23.
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
24.
Who should mark the skin with an indelible pen ahead of surgery?
a)
The nurse should mark the skin in consultation with the patient
b)
A senior nurse should be asked to mark the patient's skin
c)
The surgeon should mark the skin
d)
It is best not to mark the patient's skin for fear of distressing the patient.
25.
What serious condition is a possibility for patients positioned in the Lloyd Davies position during surgery?
a)
Stroke
b)
Cardiac arrest
c)
Compartment syndrome
d)
There are no drawbacks to the Lloyd Davies position
26.
In which of the following situations might nitrous oxide (Entonox) be considered?
a)
A wound dressing change for short term pain relief or the removal of a chest drain for reduction of anxiety
b)
Turning a patient who has bowel obstruction because there is an expectation that they may have pain from pathological fractures
c)
For pain relief during the insertion of a chest drain for the treatment of a pneumothorax.
d)
For pain relief during a wound dressing for a patient who has had radical head and neck cancer that involved the jaw.
27.
An adult has been medicated for her surgery. The operating room (OR) nurse, when going through the client's chart, realizes that the consent form has not been signed. Which of the following is the best action for the nurse to take?
a)
Assume it is emergency surgery & the consent is implied
b)
Get the consent form & have the client sign it
c)
Tell the physician that the consent form is not signed
d)
Have a family member sign the consent form
28.
A patient has just returned from theatre following surgery on their left arm. They have a PCA infusion connected and from the admission, you remember that they have poor dexterity with their right hand. They are currently pain free. What actions would you take?
a)
Educate the patient's family to push the button when the patient asks for it. Encourage them to tell the nursing staff when they leave the ward so that staff can take over.
b)
Routinely offer the patient a bolus and document this clearly.
c)
Contact the pain team/anaesthetist to discuss the situation and suggest that the means of delivery are changed.PCA settings
d)
The patient has paracetamol q.d.s. written up, so this should be adequate pain relief
29.
The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following actions first?
a)
Administer the prescribed antiemetic to the patient
b)
Determine the patency of the patient's nasogastric tube.
c)
Instruct the patient to take deep breaths
d)
Assess the patient for pain
30.
An adult is offered the opportunity to participate in research on a new therapy. The researcher ask the nurse to obtain the patient’s consent. What is most appropriate for the nurse to take?
a)
Be sure the patient understands the project before signing the consent form
b)
Read the consent form to the patient & give him or her an opportunity to 101 ask questions
c)
Refuse to be the one to obtain the patient’s consent
d)
Give the form to the patient & tell him or her to read it carefully before signing it
31.
Now the medical team encourages early ambulation in the postoperative period. which complication is least prevented by this?
a)
Tissue wasting
b)
Thrombophlebitis
c)
Wound infection
d)
Pneumonia
32.
A patient doesn’t sign the consent for mastectomy. But bystanders strongly feel that she needs surgery.
a)
Allow family members to take decision on behalf of patient
b)
Doc can proceed with surgery, since it is in line with the best interest and outcome
c)
Respect patients decision. She has the right to accept or deny
33.
You are the nurse assigned in recovery room or post anaesthetic care unit. The main priority of care in such area is:
a)
Keeping airway intact
b)
keeping patient pain free
c)
keeping neurological condition stable
d)
keeping relatives informed of patient’s condition
34.
Accurate postoperative observations are key to assessing a patient's deterioration or recovery. The Modified Early Warning Score (MEWS) is a scoring system that supports that aim. What is the primary purpose of MEWS?
a)
Identifies patients at risk of deterioration
b)
Identifies potential respiratory distress.
c)
mproves communication between nursing staff and doctors
d)
Assesses the impact of pre-existing conditions on postoperative recovery
35.
Which of the following would be an appropriate strategy in reorienting a confused patient to where her room is?
a)
Place a picture of her family on the bedside stand
b)
Put her name in large letters on her forehead
c)
Remind the patient where her room is
d)
Let the other residents know where the patient’s room is
36.
Gurgling sound from airway in a postoperative client indicates what
a)
Complete obstruction of lower airway
b)
Partial obstruction of upper airway
c)
Common sign of a post-operative patient
d)
Indicates immediate insertion of laryngeal airway
37.
What is the preferred position for abdominal Paracenthesis?
a)
Supine with head slightly elevated
b)
Supine with knees bent
c)
Prone
d)
Side-lying
38.
Famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows:
a)
Any information released will bring publicity to the hospital
b)
Nurse are obligated to respect client’s privacy and confidentiality
c)
It does not matter what is disclosed, the media will find out any way
d)
According the beneficence, the nurse has an obligation to implement actions that will benefit clients.
39.
What is right in case of consent among children under 18.
a)
Only children between 16-18 are competent to give it
b)
Parents are responsible to give consent with children
c)
Children who are intellectually developed and understand matters can give consent
40.
Early ambulation prevents all complications except:
a)
Chest infection and lung collapse
b)
Muscle wasting
c)
Thrombosis
d)
Surgical site infection
41.
A patient has just returned from theatre following surgery on his left arm. He has a PCA infusion connected and from the admission, you remember that they have poor dexterity with his right hand. He is currently pain free. What actions would you take?
a)
Educate the patient’s family to push the button when the patient asks for it. Encourage them to tell the nursing staff when they leave the ward so that staff can take over
b)
Routinely offer the patient a bolus and document this clearly
c)
Contact the pain team/anaesthetist to discuss the situation and suggest that the means of delivery are changed.
d)
The patient has paracetamol q.d.s. written up, so this should be adequate pain relief
42.
A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?
a)
Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own
b)
Just to accompany the patient
c)
To take decisions on patient’s behalf and provide their own judgements as this benefit the client
d)
Is expert and representative’s clients concerns, wishes and views as they cannot express by themselves
43.
Barbara, a 75-year old patient from a nursing home was admitted on your ward because of fractured neck of femur after a trip. She will require an open-reduction and internal fixation (ORIF) procedure to correct the injury. Which of the following statements will help her understand the procedure?
a)
You are going to have an ORIF done to correct your fracture
b)
Some metal screws and pins will be attached to your hip to help with the healing of your broken bone.
c)
The operation will require a metal fixator implanted to your femur and adjacent bones to keep it secured
d)
The ORIF procedure will be done under general anaesthesia by an orthopaedic surgeon
44.
You went back to see Mr Derby who is 1 day post-herniorraphy. As you approach him he complained of difficulty of breathing with respiration rate of 23 breaths per minute and oxygen saturation 90% in room air. What is your next action to help him?
a)
CONNECT TO oxygen
b)
give him pain relief
c)
give him antibiotics
d)
give him nebulisers
45.
Barbara was screaming in pain later in the day despite the PCA in-situ. You refer back to your nurse in charge for a stronger pain killer. She refused to call the doctor because her pain relief was reassessed earlier. What will you do next?
a)
Continue to refer back to her until she calls the doctor
b)
Encourage Barbara to continuously use the PCA
c)
Give Barbara some sedatives to keep her calm
d)
Wait until her pain stops
46.
Covert communication may include the following except:
a)
Body language
b)
tone of voice
c)
appearance
d)
eye contact
47.
Which of the following statements by a nurse would indicate an understanding of intrapersonal communications?
a)
Intrapersonal communications occurs within a person
b)
Intrapersonal communications occurs within a person
c)
Intrapersonal communications occur between two or more people
d)
Interpersonal communications is the same as intrapersonal communication"
e)
Nurses should avoid using intrapersonal communications
48.
An example of a positive outcome of a nurse-health team relationship would be:
a)
Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role
b)
Becoming an effective change agent in the community
c)
An increased understanding of the family dynamics that affect the client
d)
An increased understanding of what the client perceives as meaningful from his or her perspective
49.
Which therapeutic communication technique is being used in this nurseclient interaction?
a)
Formulating a plan of action
b)
Making observations
c)
Exploring
d)
Encouraging comparison
50.
The nursing staff communicates that the new manager has a focus on the "bottom line," and little concern for the quality of care. What is likely true of this nurse manager?
a)
The manager is looking at the total care picture
b)
The manager is communicating the importance of a caring environment
c)
The manager is communicating the importance of a caring environment. C. The manager understands the organization's values and how they mesh with the manager's values
d)
The manager is unwilling to listen to staff concerns unless they have an impact on costs.
Reset
