1.Easy
What is atelectasis?
- ANarrowing of the airways caused by spasm of smooth muscle
- BCollapse of part of the lung so the alveoli contain no air
- CInfection of the lung tissue causing the alveoli to fill with pus
- DFluid in the space around the lung
2.Easy
In an adult over 40, an added third heart sound (S3) most often suggests which problem?
- AA normal finding of good fitness
- BA narrowed aortic valve
- CHeart failure with fluid overload
- DInflammation of the pericardium
3.Easy
Which vaccine is used to protect against tuberculosis?
- AMMR
- BBCG
- CDTaP
- DHPV
4.Medium
A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?
- AInsulin should be stopped while taking a beta-blocker
- BThe beta-blocker will prevent all episodes of hypoglycaemia
- CSome warning signs, such as a fast heartbeat, may be masked
- DHypoglycaemia will always cause a very slow and weak pulse
5.Medium
A patient with supraventricular tachycardia is to receive IV adenosine. What should the nurse warn them about?
- ABrief flushing or chest tightness and a pause of a few seconds
- BA headache that lasts for several days afterwards
- CA burning pain along the arm vein for about a week
- DSeveral hours of drowsiness, slurred speech and confusion afterwards
6.Medium
According to current guidance, when should oxygen be given to a patient with an acute coronary syndrome?
- AAlways at 15 L/min, whatever the saturation
- BOnly once the troponin result is available
- CNever, because oxygen harms heart muscle
- DOnly when SpO₂ is below the target range
7.Hard
On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?
- AForce the tube back through the stoma immediately with firm pressure
- BLeave the patient alone while fetching a new tube
- CCover the stoma completely with a sealed dressing and wait for help
- DCall for expert help and give oxygen to both the face and the stoma
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?
- ASinus tachycardia
- BComplete heart block
- CVentricular fibrillation
- DAtrial fibrillation
Answer key
- 1. B · Collapse of part of the lung so the alveoli contain no air
- 2. C · Heart failure with fluid overload
- 3. B · BCG
- 4. C · Some warning signs, such as a fast heartbeat, may be masked
- 5. A · Brief flushing or chest tightness and a pause of a few seconds
- 6. D · Only when SpO₂ is below the target range
- 7. D · Call for expert help and give oxygen to both the face and the stoma
- 8. D · Atrial fibrillation
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