1.Easy
A wheeze heard on chest auscultation is caused by:
- AAir flowing through narrowed airways
- BThe pleural layers rubbing together
- CFluid in the alveoli
- DFluid collecting in the pleural space
2.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AStand clear and not touch the patient
- BHold the patient's hand
- CGive rescue breaths
- DKeep doing chest compressions without pausing
3.Easy
C-reactive protein (CRP) is a blood marker of:
- AKidney function
- BInflammation
- CBlood clotting time
- DThyroid function
4.Medium
A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?
- ALying the patient flat so that they can rest and conserve energy
- BSitting the patient upright and supporting them to clear secretions
- CRestricting all oral fluids
- DDiscouraging coughing to save energy
5.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- APhone the patient's family
- BComplete the incident report form
- CLift the patient straight back into bed so they are comfortable
- DCheck the patient for injuries before moving them
6.Medium
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A5 × 109/L
- B150 × 109/L
- C15 × 109/L
- D0.5 × 109/L
7.Hard
Which set of findings best distinguishes cardiogenic shock from hypovolaemic shock?
- ATachycardia, hypotension and a weak, thready peripheral pulse
- BReduced urine output
- CCool, pale skin
- DRaised jugular venous pressure and lung crackles
8.Hard
A nurse is unsure whether a prescribed dose of a high-risk drug is correct. What is the safest action?
- AGive the dose because the doctor has signed the prescription
- BWithhold it and check with the prescriber or pharmacist first
- CGive half the dose as a compromise until the doctor is available
- DAsk the patient whether the dose looks the same as usual and give it
Answer key
- 1. A · Air flowing through narrowed airways
- 2. A · Stand clear and not touch the patient
- 3. B · Inflammation
- 4. B · Sitting the patient upright and supporting them to clear secretions
- 5. D · Check the patient for injuries before moving them
- 6. D · 0.5 × 109/L
- 7. D · Raised jugular venous pressure and lung crackles
- 8. B · Withhold it and check with the prescriber or pharmacist first
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