1.Easy
In which situation can a pulse oximeter show a falsely normal reading?
- AA warm hand at rest
- BA regular pulse of 80/min
- CCarbon monoxide poisoning
- DBreathing room air
2.Easy
Which intervention most effectively slows the progression of COPD in a smoker?
- ALong-term oral antibiotics
- BDaily oral corticosteroids
- CLong-term home oxygen
- DStopping smoking
3.Easy
What is the normal PR interval on an adult ECG?
- A0.02–0.06 seconds
- B0.12–0.20 seconds
- C0.40–0.60 seconds
- D1.0–1.2 seconds
4.Medium
A patient is starting long-term amiodarone. Which teaching and monitoring are most important?
- AEat extra salt and stop the drug as soon as the pulse is regular
- BProtect skin from sunlight and have thyroid, liver and lung checks
- CExpect orange urine and no need for blood tests
- DAvoid dairy products and have the INR checked once at the start
5.Medium
Where is the V1 electrode placed for a 12-lead ECG?
- AJust below the left collarbone
- BThe fourth intercostal space just right of the sternum
- CThe fifth intercostal space in the mid-axillary line
- DOver the left nipple
6.Medium
Why is a shock for cardioversion synchronised with the QRS complex?
- ATo keep the pads from burning the skin
- BTo allow the use of a lower battery charge
- CTo make the shock less painful for the patient
- DTo avoid delivering the shock during the T wave
7.Hard
A patient with heart failure wakes extremely breathless, coughing pink frothy sputum. BP is 168/96 mmHg and SpO₂ 86%. Help has been called. What is the best initial nursing action?
- AEncourage the patient to walk to ease the breathing
- BLie the patient flat with the legs raised on pillows
- CSit the patient upright with the legs down and give oxygen
- DGive a large IV fluid bolus to support the circulation
8.Hard
A nurse teaches a patient how to measure blood pressure at home. Which statement shows a need for further teaching?
- A"I will take two readings and write them both down."
- B"I will sit with my back supported and my arm at heart level."
- C"I will rest quietly for five minutes before measuring."
- D"I will measure it straight after my morning jog."
Answer key
- 1. C · Carbon monoxide poisoning
- 2. D · Stopping smoking
- 3. B · 0.12–0.20 seconds
- 4. B · Protect skin from sunlight and have thyroid, liver and lung checks
- 5. B · The fourth intercostal space just right of the sternum
- 6. D · To avoid delivering the shock during the T wave
- 7. C · Sit the patient upright with the legs down and give oxygen
- 8. D · "I will measure it straight after my morning jog."
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