1.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AGive rescue breaths
- BStand clear and not touch the patient
- CHold the patient's hand
- DKeep doing chest compressions without pausing
2.Easy
How should nursing records be written?
- AUsing personal abbreviations that only the nurse who wrote them understands
- BAt the end of the week, written from memory in one go to save time
- CIn pencil so that mistakes can be rubbed out
- DAccurately and as soon as possible after the event, with date, time and signature
3.Easy
Graduated compression stockings and early mobilisation are used after surgery mainly to prevent:
- AWound infection
- BPressure ulcers of the heel only
- CUrinary retention
- DVenous thromboembolism
4.Medium
Which group of symptoms suggests hypercalcaemia?
- AWeight gain, feeling cold and a slow pulse
- BTingling lips, muscle cramps and spasms of the hands and feet
- CSweating, tremor and sudden hunger
- DThirst, constipation, confusion and abdominal pain
5.Medium
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
- AInfective endocarditis
- BMyocardial infarction
- CPericarditis
- DRheumatic fever
6.Medium
Which oxygen device delivers a precise, fixed concentration of oxygen?
- ANasal cannula
- BSimple face mask
- CVenturi mask
- DNon-rebreathe mask
7.Hard
Why is hypokalaemia particularly dangerous in a patient taking digoxin?
- ALow potassium makes digoxin work too slowly
- BLow potassium increases the risk of digoxin toxicity
- CLow potassium stops digoxin from being absorbed
- DDigoxin raises potassium to dangerous levels when it is already low
8.Hard
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
- AThe combination can cause a severe, dangerous fall in blood pressure
- BThe combination causes severe hyperkalaemia
- CSildenafil stops GTN from being absorbed under the tongue at all
- DGTN makes sildenafil toxic to the liver
Answer key
- 1. B · Stand clear and not touch the patient
- 2. D · Accurately and as soon as possible after the event, with date, time and signature
- 3. D · Venous thromboembolism
- 4. D · Thirst, constipation, confusion and abdominal pain
- 5. A · Infective endocarditis
- 6. C · Venturi mask
- 7. B · Low potassium increases the risk of digoxin toxicity
- 8. A · The combination can cause a severe, dangerous fall in blood pressure
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