NHS 111 LATEST EXAM 2026 WITH 100 PRACTICE
QUESTIONS AND ANSWERS WITH DETAILED
RATIONALES 100% GUARANTEED PASS!!
1. A caller reports sudden-onset severe headache,
vomiting, and photophobia. The NHS 111
priority is to assess for:
a) Migraine
b) Sinusitis
c) Meningitis
d) Tension headache
Rationale: Headache with vomiting +
photophobia suggests meningitis, requiring
urgent referral.
2. A patient with known asthma reports wheezing
that is not relieved by their blue inhaler every
15 minutes for 1 hour. The appropriate
disposition is:
a) Self-care at home
b) Repeat inhaler in 30 minutes
c) Emergency ambulance dispatch
d) GP appointment within 48 hours
, Rationale: Unresponsive wheezing indicates
severe exacerbation; category 1 ambulance
response.
3. Which symptom in a caller with chest pain most
strongly suggests a cardiac cause?
a) Sharp pain worse on breathing
b) Pain reproduced by pressing on chest
c) Radiating pain to left arm or jaw
d) Pain lasting 2 seconds
Rationale: Cardiac pain often radiates to left
arm, jaw, or shoulder.
4. A 6-month-old infant has a fever of 39.5°C and
is lethargic, not feeding, with a bulging
fontanelle. The NHS 111 assessor should:
a) Advise paracetamol and review in 4 hours
b) Send an ambulance immediately
c) Book a same-day GP appointment
d) Advise home care with fluids
Rationale: Bulging fontanelle + lethargy + fever
= possible meningitis/sepsis (red flag).
,5. A caller reports a nosebleed that has not
stopped after 20 minutes of direct pressure.
What advice should be given?
a) Continue pressure for another 20 minutes
b) Attend urgent care centre or call ambulance
if severe bleeding
c) Tilt head backward
d) Apply cold compress to forehead
Rationale: Bleeding >20 min unresponsive to
pressure requires clinical assessment.
6. Which of the following is a red flag for
headache requiring same-day face-to-face
assessment?
a) Headache lasting 3 days with no other
symptoms
b) New headache in a patient over 50 with
giant cell arteritis symptoms
c) Mild headache after skipping meals
d) Headache with runny nose
*Rationale: New headache in >50 with jaw
claudication/tender temple = GCA (urgent
steroid).*
, 7. A caller describes a seizure in an adult that
lasted 4 minutes. The patient is now post-ictal
but breathing. The NHS 111 action is:
a) Advise to sleep and call GP in morning
b) Send ambulance (first-time prolonged
seizure)
c) Advise to take benzodiazepine at home
d) Book telephone GP consult
Rationale: Seizure >5 minutes or first seizure
with prolonged duration requires emergency
evaluation.
8. A parent reports a child with stridor, barking
cough, and difficulty breathing that worsens
when lying down. This is likely:
a) Asthma
b) Croup
c) Bronchiolitis
d) Epiglottitis
Rationale: Barking cough + stridor + worse
supine = croup (laryngotracheobronchitis).
QUESTIONS AND ANSWERS WITH DETAILED
RATIONALES 100% GUARANTEED PASS!!
1. A caller reports sudden-onset severe headache,
vomiting, and photophobia. The NHS 111
priority is to assess for:
a) Migraine
b) Sinusitis
c) Meningitis
d) Tension headache
Rationale: Headache with vomiting +
photophobia suggests meningitis, requiring
urgent referral.
2. A patient with known asthma reports wheezing
that is not relieved by their blue inhaler every
15 minutes for 1 hour. The appropriate
disposition is:
a) Self-care at home
b) Repeat inhaler in 30 minutes
c) Emergency ambulance dispatch
d) GP appointment within 48 hours
, Rationale: Unresponsive wheezing indicates
severe exacerbation; category 1 ambulance
response.
3. Which symptom in a caller with chest pain most
strongly suggests a cardiac cause?
a) Sharp pain worse on breathing
b) Pain reproduced by pressing on chest
c) Radiating pain to left arm or jaw
d) Pain lasting 2 seconds
Rationale: Cardiac pain often radiates to left
arm, jaw, or shoulder.
4. A 6-month-old infant has a fever of 39.5°C and
is lethargic, not feeding, with a bulging
fontanelle. The NHS 111 assessor should:
a) Advise paracetamol and review in 4 hours
b) Send an ambulance immediately
c) Book a same-day GP appointment
d) Advise home care with fluids
Rationale: Bulging fontanelle + lethargy + fever
= possible meningitis/sepsis (red flag).
,5. A caller reports a nosebleed that has not
stopped after 20 minutes of direct pressure.
What advice should be given?
a) Continue pressure for another 20 minutes
b) Attend urgent care centre or call ambulance
if severe bleeding
c) Tilt head backward
d) Apply cold compress to forehead
Rationale: Bleeding >20 min unresponsive to
pressure requires clinical assessment.
6. Which of the following is a red flag for
headache requiring same-day face-to-face
assessment?
a) Headache lasting 3 days with no other
symptoms
b) New headache in a patient over 50 with
giant cell arteritis symptoms
c) Mild headache after skipping meals
d) Headache with runny nose
*Rationale: New headache in >50 with jaw
claudication/tender temple = GCA (urgent
steroid).*
, 7. A caller describes a seizure in an adult that
lasted 4 minutes. The patient is now post-ictal
but breathing. The NHS 111 action is:
a) Advise to sleep and call GP in morning
b) Send ambulance (first-time prolonged
seizure)
c) Advise to take benzodiazepine at home
d) Book telephone GP consult
Rationale: Seizure >5 minutes or first seizure
with prolonged duration requires emergency
evaluation.
8. A parent reports a child with stridor, barking
cough, and difficulty breathing that worsens
when lying down. This is likely:
a) Asthma
b) Croup
c) Bronchiolitis
d) Epiglottitis
Rationale: Barking cough + stridor + worse
supine = croup (laryngotracheobronchitis).
