1.Easy
Which assessment should be done regularly after a limb is put in a plaster cast?
- ANeurovascular observations of the limb below the cast
- BPeak flow measurement
- CHearing test
- DVisual acuity test
2.Easy
Hypothermia in an adult is usually defined as a core body temperature below:
- A35 °C
- B37 °C
- C36.5 °C
- D38 °C
3.Easy
A pleural effusion is:
- AA collection of fluid in the pleural space
- BAn infection of the bronchi
- CA blood clot in the lung
- DAir in the pleural space after an injury
4.Medium
For a patient in skin traction on the leg, which is correct?
- AThe weights rest on the floor overnight
- BThe rope is tied to the bed frame to keep it still
- CThe weights hang freely and do not rest on the bed or floor
- DThe weights are removed whenever the patient feels uncomfortable
5.Medium
Which drug is first-line in an acute asthma attack?
- AAn oral beta-blocker
- BA nebulised or inhaled short-acting beta2-agonist (salbutamol/albuterol)
- CAn oral antihistamine such as cetirizine taken every few hours
- DA long-acting inhaled corticosteroid, used alone at a higher dose
6.Medium
During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?
- AFlush the cannula hard with saline
- BApply a warm pack and continue the infusion
- CIncrease the rate so that the infusion finishes as quickly as possible
- DStop the infusion straight away and follow the extravasation protocol
7.Hard
During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?
- ANever, because asystole is not treated with drugs
- BOnly after three shocks have been delivered by the defibrillator
- COnly once the patient has a pulse again
- DAs soon as IV or IO access is obtained, then every 3–5 minutes
8.Hard
A postoperative patient has a heart rate of 115/min, temperature 38.6 °C, respiratory rate 26/min and blood pressure 85/50 mmHg despite a fluid bolus. What does this most likely indicate?
- AAnxiety about discharge
- BA normal inflammatory response in the first days after surgery
- CMild dehydration only
- DSeptic shock requiring urgent critical care review
Answer key
- 1. A · Neurovascular observations of the limb below the cast
- 2. A · 35 °C
- 3. A · A collection of fluid in the pleural space
- 4. C · The weights hang freely and do not rest on the bed or floor
- 5. B · A nebulised or inhaled short-acting beta2-agonist (salbutamol/albuterol)
- 6. D · Stop the infusion straight away and follow the extravasation protocol
- 7. D · As soon as IV or IO access is obtained, then every 3–5 minutes
- 8. D · Septic shock requiring urgent critical care review
Full step-by-step solutions: practise this topic on examproblems.com.