1.Easy
Which vessels carry oxygenated blood from the lungs to the heart?
- AThe coronary sinus
- BThe venae cavae
- CThe pulmonary veins
- DThe pulmonary arteries
2.Easy
Where are AED pads usually placed on an adult?
- AOn each upper arm
- BBoth pads on the back, side by side between the shoulder blades
- CBelow the right collarbone and on the left side below the armpit
- DBoth pads on the abdomen, just below the ribs on either side
3.Easy
What is the compression-to-ventilation ratio for adult CPR?
- A30 compressions to 2 breaths
- B15 compressions to 2 breaths
- C50 compressions to 5 breaths
- D5 compressions to 1 breath
4.Medium
Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?
- AThe patient has fasted for 12 hours
- BA chest drain is in place
- CAn accurate, recent body weight is recorded
- DThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
5.Medium
Which vaccinations are usually recommended for people with COPD?
- AA yearly tetanus booster only
- BA BCG vaccine every five years
- CNo vaccines at all, as they are known to trigger exacerbations
- DAnnual influenza and pneumococcal vaccination
6.Medium
Why is a beta-blocker started at a low dose and increased slowly in heart failure?
- AIt can briefly worsen symptoms before long-term benefit appears
- BIt must be stopped as soon as symptoms improve
- CIt works only if the dose is never changed after the first day
- DIt is safe only at the highest possible dose from the very start
7.Hard
A patient with stable severe COPD has a blood gas showing pH 7.37, a raised PaCO₂ and a raised bicarbonate. How should this be interpreted?
- AA normal blood gas with no abnormality
- BChronic respiratory acidosis with metabolic compensation
- CRespiratory alkalosis from hyperventilation
- DAcute respiratory acidosis needing emergency intubation
8.Hard
A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?
- AThe left subclavian artery
- BThe circumflex artery
- CThe left anterior descending artery
- DThe right coronary artery and its branches
Answer key
- 1. C · The pulmonary veins
- 2. C · Below the right collarbone and on the left side below the armpit
- 3. A · 30 compressions to 2 breaths
- 4. C · An accurate, recent body weight is recorded
- 5. D · Annual influenza and pneumococcal vaccination
- 6. A · It can briefly worsen symptoms before long-term benefit appears
- 7. B · Chronic respiratory acidosis with metabolic compensation
- 8. C · The left anterior descending artery
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