1.Easy
What is the correct first aid for an adult with a nosebleed?
- ABlow the nose hard to clear the clots
- BLie flat on the back with the head turned to one side for an hour
- CTilt the head back and pinch the bony bridge of the nose firmly
- DSit forward and pinch the soft part of the nose for 10–15 minutes
2.Easy
Which serious complication is strongly linked with untreated hypertension?
- AAsthma
- BPneumonia
- CStroke
- DCataract
3.Easy
What is the usual SpO₂ of a healthy adult at rest breathing room air?
- AAbout 70–75%
- BAbout 60–65%
- CAbout 80–85%
- DAbout 95–100%
4.Medium
A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?
- ADrive straight to hospital alone after any shock so the device can be checked by the team
- BRemove the device battery at home if it fires more than once
- CIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
- DOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
5.Medium
Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?
- AIt can cause bronchospasm by blocking beta-2 receptors
- BIt thickens airway mucus by drying the airways
- CIt raises the heart rate sharply during an acute asthma attack
- DIt makes inhaled corticosteroids work too strongly
6.Medium
How should subcutaneous enoxaparin from a prefilled syringe be given?
- AAs a rapid intravenous bolus through a cannula
- BInto the same abdominal site each day, then massaged
- CInto the abdomen, leaving the air bubble in, without rubbing
- DInto the deltoid muscle, after first expelling the air bubble
7.Hard
A patient in atrial fibrillation has a heart rate of 165/min, BP 78/45 mmHg, chest pain and new confusion. What treatment should the nurse anticipate?
- AIV atropine to improve the blood pressure
- BUrgent synchronised electrical cardioversion
- CUnsynchronised defibrillation as for cardiac arrest
- DOral bisoprolol and review in the morning
8.Hard
A patient is listed for coronary angiography in the morning. Which pre-procedure result should the nurse report to the team?
- AA blood glucose of 5.4 mmol/L (97 mg/dL)
- BA markedly reduced eGFR
- CA normal platelet count
- DA haemoglobin in the normal range
Answer key
- 1. D · Sit forward and pinch the soft part of the nose for 10–15 minutes
- 2. C · Stroke
- 3. D · About 95–100%
- 4. D · One shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
- 5. A · It can cause bronchospasm by blocking beta-2 receptors
- 6. C · Into the abdomen, leaving the air bubble in, without rubbing
- 7. B · Urgent synchronised electrical cardioversion
- 8. B · A markedly reduced eGFR
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