1.Easy
Which symptom is typical of peripheral arterial disease?
- AAnkle swelling that worsens through the day and eases overnight
- BA warm, red, swollen calf on one side
- CItchy brown skin around the ankles
- DCalf cramp on walking that settles with rest
2.Easy
What is the compression-to-ventilation ratio for adult CPR?
- A5 compressions to 1 breath
- B15 compressions to 2 breaths
- C30 compressions to 2 breaths
- D50 compressions to 5 breaths
3.Easy
Which finding is typical of a deep vein thrombosis in the leg?
- AOne-sided calf swelling, warmth and tenderness
- BCalf pain on walking that settles within minutes of rest
- CBoth feet cold, pale and without pulses
- DBrown skin staining around both ankles
4.Medium
During airway suctioning, when should suction be applied?
- ABefore the catheter enters the airway
- BOnly while inserting the catheter
- CContinuously for at least 30 seconds
- DOnly while withdrawing the catheter
5.Medium
A patient with heart failure takes furosemide once a day. When is the best time to take it?
- AJust before the evening meal, with a large drink
- BAt bedtime, so the effect lasts through the night
- CIn the morning, to avoid needing the toilet at night
- DWhenever the ankles look swollen, on those days only
6.Medium
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- APeople with angina must stop smoking without any help
- BNicotine patches are much more harmful to the heart than cigarettes
- CNicotine replacement only works if smoking continues
- DNicotine replacement is much safer than smoking and is recommended
7.Hard
Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?
- AReassure the patient that iron tablets cause black stools
- BStop both antiplatelet drugs permanently on the nurse's own decision
- CCheck vital signs, report urgently and anticipate a blood count
- DGive a laxative and repeat the observations tomorrow
8.Hard
A patient has been on continuous NIV via a full-face mask for two days. Which nursing measure helps prevent the most common complication?
- ACheck mask fit and protect the bridge of the nose
- BRemove the mask for an hour each time the alarm sounds
- CTighten the straps as far as they will go to stop any leak
- DUse the same mask size for every patient
Answer key
- 1. D · Calf cramp on walking that settles with rest
- 2. C · 30 compressions to 2 breaths
- 3. A · One-sided calf swelling, warmth and tenderness
- 4. D · Only while withdrawing the catheter
- 5. C · In the morning, to avoid needing the toilet at night
- 6. D · Nicotine replacement is much safer than smoking and is recommended
- 7. C · Check vital signs, report urgently and anticipate a blood count
- 8. A · Check mask fit and protect the bridge of the nose
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