1.Easy
How is most oxygen carried in the blood?
- ACarried as bicarbonate ions in the plasma
- BDissolved freely in the plasma water
- CBound to albumin and other plasma proteins
- DBound to haemoglobin in red blood cells
2.Easy
What is the main advantage of a Venturi mask?
- AIt is the only mask that warms and humidifies the oxygen
- BIt gives a fixed, precise oxygen concentration
- CIt gives 100% oxygen to the patient
- DIt works without an oxygen supply
3.Easy
What is the pleura?
- AThe cartilage rings of the trachea
- BThe dome-shaped muscle that separates the chest from the abdomen
- CA double membrane lining the lungs and the inner chest wall
- DThe tiny air sacs at the ends of the airways where gas exchange happens
4.Medium
A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?
- AThe reading will be falsely low
- BThe reading will be accurate but slower
- CThe reading will be falsely high
- DOnly the pulse rate will be affected
5.Medium
A patient with heart failure starts spironolactone in addition to an ACE inhibitor. Which blood result needs close monitoring?
- ACalcium, because both drugs can lower it
- BGlucose, because both drugs can cause hypoglycaemia
- CPotassium, because both drugs can raise it
- DHaemoglobin, because both drugs can cause bleeding
6.Medium
Before compression therapy is applied for a venous leg ulcer, which assessment is essential?
- AA chest X-ray and ECG
- BAn ankle–brachial pressure index (ABPI)
- CA wound swab for culture and sensitivity
- DA full blood count and CRP
7.Hard
Which task for a stable patient with heart failure can the registered nurse most appropriately delegate to a healthcare assistant (unlicensed assistive personnel)?
- ADeciding whether to give the furosemide dose
- BMeasuring and recording the morning weight
- CTeaching the patient about a low-salt diet
- DAssessing lung sounds for new crackles
8.Hard
A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?
- ABlood glucose only
- BLiver size by daily palpation and weekly abdominal ultrasound
- CDrug levels, renal function and hearing or balance changes
- DPeak flow readings and spirometry before and after each dose
Answer key
- 1. D · Bound to haemoglobin in red blood cells
- 2. B · It gives a fixed, precise oxygen concentration
- 3. C · A double membrane lining the lungs and the inner chest wall
- 4. C · The reading will be falsely high
- 5. C · Potassium, because both drugs can raise it
- 6. B · An ankle–brachial pressure index (ABPI)
- 7. B · Measuring and recording the morning weight
- 8. C · Drug levels, renal function and hearing or balance changes
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