1.Easy
How should glyceryl trinitrate (nitroglycerin) sublingual tablets be stored?
- AIn the fridge, mixed in one bottle with their other tablets
- BIn their original container, away from heat and light
- CIn direct sunlight on the windowsill
- DLoose in a pocket or a plastic pill box for easy access
2.Easy
Which sign often appears earliest in hypovolaemic shock in an adult?
- AFixed, dilated pupils
- BA rising heart rate
- CA systolic pressure below 70 mmHg
- DA slow, bounding pulse
3.Easy
What does an SpO₂ reading measure?
- AThe oxygen level in the brain
- BThe amount of carbon dioxide dissolved in the blood
- CThe percentage of haemoglobin carrying oxygen
- DThe total haemoglobin level
4.Medium
How is the jugular venous pressure usually assessed?
- APatient sitting upright with the arms raised above the head
- BPatient reclined at 45° with the head turned slightly to the left
- CPatient standing with the neck flexed forward
- DPatient lying completely flat with the head turned to the right
5.Medium
Why is a higher level of HDL cholesterol considered protective?
- AHDL thins the blood in the same way as an anticoagulant
- BHDL carries cholesterol from the tissues back to the liver
- CHDL is converted into vitamin D in the walls of the arteries
- DHDL lowers the blood pressure directly
6.Medium
Septic shock belongs to which category of shock?
- AObstructive shock
- BHypovolaemic shock
- CCardiogenic shock
- DDistributive shock
7.Hard
A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?
- A"I use my steroid inhaler when I start to wheeze."
- B"I use my steroid inhaler every day, even when I feel well."
- C"I carry my blue reliever inhaler with me."
- D"I rinse my mouth after the steroid inhaler."
8.Hard
Two days after coronary artery bypass surgery, a patient feels palpitations. The pulse is irregularly irregular at 140/min and BP is 112/70 mmHg. Which rhythm is most likely?
- AVentricular fibrillation
- BSinus tachycardia
- CComplete heart block
- DAtrial fibrillation
Answer key
- 1. B · In their original container, away from heat and light
- 2. B · A rising heart rate
- 3. C · The percentage of haemoglobin carrying oxygen
- 4. B · Patient reclined at 45° with the head turned slightly to the left
- 5. B · HDL carries cholesterol from the tissues back to the liver
- 6. D · Distributive shock
- 7. A · "I use my steroid inhaler when I start to wheeze."
- 8. D · Atrial fibrillation
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