1.Easy
What does an SpO₂ reading measure?
- AThe oxygen level in the brain
- BThe percentage of haemoglobin carrying oxygen
- CThe amount of carbon dioxide dissolved in the blood
- DThe total haemoglobin level
2.Easy
In pericarditis, which structure is inflamed?
- AThe coronary arteries
- BThe sac that surrounds the heart
- CThe inner lining of the heart chambers
- DThe heart muscle itself
3.Easy
What is a "barrel chest"?
- AA sunken breastbone that has been present since birth
- BA wider front-to-back chest diameter from air trapping
- CA curved spine that bends to one side and twists the ribs
- DA chest that moves inward on breathing in
4.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
- CHumidification prevents the cuff from deflating
- DThe nose and upper airway, which warm and moisten air, are bypassed
5.Medium
What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?
- ATo replace a damaged heart valve
- BTo slow the atrial rate in patients with atrial fibrillation
- CTo deliver a shock whenever the heart rate exceeds 100/min
- DTo make both ventricles contract together and more efficiently
6.Medium
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ARemove the cannula, document and monitor the site
- BLeave it in place, as this is normal after 24 hours
- CCover the site and keep using it until it blocks
- DFlush the cannula hard to clear it
7.Hard
A patient on spironolactone and an ACE inhibitor has a potassium of 6.8 mmol/L (6.8 mEq/L) with peaked T waves. What is usually given first to protect the heart?
- AAn IV furosemide bolus as the only treatment
- BOral potassium supplements
- CIntravenous calcium gluconate or chloride
- DA dose of digoxin
8.Hard
A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?
- ALeave the patient to fetch a defibrillator before calling anyone
- BShout for help, open the airway and check breathing for up to 10 seconds
- CTake a full set of observations, including temperature and blood glucose
- DGive two rescue breaths, then check the blood glucose before calling anyone
Answer key
- 1. B · The percentage of haemoglobin carrying oxygen
- 2. B · The sac that surrounds the heart
- 3. B · A wider front-to-back chest diameter from air trapping
- 4. D · The nose and upper airway, which warm and moisten air, are bypassed
- 5. D · To make both ventricles contract together and more efficiently
- 6. A · Remove the cannula, document and monitor the site
- 7. C · Intravenous calcium gluconate or chloride
- 8. B · Shout for help, open the airway and check breathing for up to 10 seconds
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