1.Easy
What is the usual SpO₂ of a healthy adult at rest breathing room air?
- AAbout 60–65%
- BAbout 95–100%
- CAbout 80–85%
- DAbout 70–75%
2.Easy
When do the coronary arteries of the left ventricle mainly fill with blood?
- AOnly during exercise
- BDuring systole
- CDuring diastole
- DOnly during inspiration
3.Easy
What does "myocardial infarction" mean?
- AInfection of the heart valves
- BDeath of heart muscle caused by a blocked blood supply
- CInflammation of the membrane that surrounds the heart
- DTemporary chest pain with no muscle damage
4.Medium
How should subcutaneous enoxaparin from a prefilled syringe be given?
- AInto the abdomen, leaving the air bubble in, without rubbing
- BInto the same abdominal site each day, then massaged
- CAs a rapid intravenous bolus through a cannula
- DInto the deltoid muscle, after first expelling the air bubble
5.Medium
Why must inspired air be humidified for a patient with a tracheostomy?
- ADry air is needed to stop secretions forming in the trachea
- BHumidified air contains more oxygen than dry air at the same flow
- CThe nose and upper airway, which warm and moisten air, are bypassed
- DHumidification prevents the cuff from deflating
6.Medium
Which ECG change is classically linked with hyperkalaemia?
- AA sawtooth baseline
- BDelta waves before the QRS
- CProminent U waves
- DTall, peaked T waves
7.Hard
A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?
- A"I will avoid ibuprofen for my joint pain."
- B"I will weigh myself every morning after I go to the toilet."
- C"I will use a salt substitute instead of ordinary salt."
- D"I will call if I gain weight quickly or get more breathless."
8.Hard
A patient on a morphine PCA after surgery is very drowsy, with a respiratory rate of 7/min and pinpoint pupils. SpO₂ is 89%. What should the nurse do first?
- AStop the PCA, support breathing, give oxygen and get naloxone
- BLeave the patient to sleep and recheck the observations in an hour
- CEncourage the patient to keep pressing the PCA button for comfort
- DGive a sedative to keep the patient comfortable
Answer key
- 1. B · About 95–100%
- 2. C · During diastole
- 3. B · Death of heart muscle caused by a blocked blood supply
- 4. A · Into the abdomen, leaving the air bubble in, without rubbing
- 5. C · The nose and upper airway, which warm and moisten air, are bypassed
- 6. D · Tall, peaked T waves
- 7. C · "I will use a salt substitute instead of ordinary salt."
- 8. A · Stop the PCA, support breathing, give oxygen and get naloxone
Full step-by-step solutions: practise this topic on examproblems.com.