1. Jason is a 14-year-old boy who was diagnosed with diabetes 7 years ago. He has been admitted with high blood glucose levels (hyperglycaemia). What might be the cause of his hyperglycaemia?

1. He went out with his mates without his insulin pen
2. He has taken too much insulin
3. He gave his insulin injection into his deltoid muscle
4. He only took a small amount of insulin because he ate a small meal

2. Melissa has cerebral palsy and epilepsy following her premature birth at 26 weeks. She regularly takes diazepam, baclofen and vigabatrin. Melissa was admitted for an adductor tenotomy (muscle release of lower limb muscles). Post operatively she is likely to require:

1. Analgesia
2.  Larger doses of her regular medication
3.  Her regular medications to be stopped
4. Bronchodilators

3. Your mentor has recently set up an infusion of vancomycin for a child you are caring for. The child's mother alerts you a few minutes later to say that her daughter appears to be developing a rash and is short of breath. What might be happening?

1. The mother is worried that her daughter is developing asthma
2. The nurse has given the wrong drug
3. She is having a reaction to the drug
4. The infusion has made her anxious

4. A qualified nurse can give intravenous drugs under what circumstances?

1. There are no doctors available
2. The nurse has attended the training and has been assessed as competent by a qualified assessor
3. The ward sister agrees
4. A pharmacist has verified that she has an active PIN number from the NMC

5. A 15-year-old girl is admitted having taken a paracetamol overdose. What drug would the nurse expect to use?

1. Furosemide
2. Ascorbic acid
3. Amoxicillin
4. Acetylcysteine