1.Easy
What is the purpose of incentive spirometry after surgery?
- ATo encourage deep breaths and prevent atelectasis
- BTo test lung function before discharge
- CTo deliver nebulised bronchodilator medicine
- DTo measure the patient's oxygen saturation
2.Easy
Which test is classically used to diagnose cystic fibrosis?
- ATuberculin skin test
- BPeak flow test
- CD-dimer test
- DSweat chloride test
3.Easy
Which dietary change lowers blood pressure most?
- AMore fruit juice and less water
- BMore red meat and less bread
- CMore coffee and fewer fizzy drinks with added sugar
- DLess salt and more fruit and vegetables
4.Medium
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AAt least 15 hours a day
- BOnly when walking outside
- COnly during meals
- DAbout one hour each morning
5.Medium
A patient on nasal cannula oxygen breathes mainly through the mouth. What is the most accurate statement?
- AIt can still work, because oxygen collects in the nasopharynx
- BThe cannula should be placed in the mouth
- CThe flow must be increased to 15 L/min to make it work at all
- DIt has no effect at all in mouth breathers and must be stopped
6.Medium
Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?
- AWithout an inhaled steroid, it is linked with severe and fatal attacks
- BIt works only when it is taken together with a course of antibiotics
- CIt cannot be inhaled without a nebuliser
- DIt always causes immediate severe bronchospasm when used on its own
7.Hard
An 84-year-old with heart failure becomes breathless with new crackles and a rising blood pressure during a blood transfusion. What should the nurse suspect?
- AAn acute haemolytic reaction from wrong blood
- BA mild febrile reaction
- CTransfusion-associated circulatory overload
- DNormal effects of the transfusion
8.Hard
A patient with known peripheral arterial disease suddenly has a cold, white, painful foot with no pulses and numb toes. What is the priority?
- AEncourage walking to open up the collateral circulation
- BEscalate at once as an emergency; keep the leg level, no heat
- CRaise the leg on pillows and warm the foot with a hot water bottle
- DApply a compression bandage to improve the circulation
Answer key
- 1. A · To encourage deep breaths and prevent atelectasis
- 2. D · Sweat chloride test
- 3. D · Less salt and more fruit and vegetables
- 4. A · At least 15 hours a day
- 5. A · It can still work, because oxygen collects in the nasopharynx
- 6. A · Without an inhaled steroid, it is linked with severe and fatal attacks
- 7. C · Transfusion-associated circulatory overload
- 8. B · Escalate at once as an emergency; keep the leg level, no heat
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