1.Easy
Which of these is a common allergic trigger of asthma?
- ADrinking water
- BEating rice
- CWearing cotton clothes
- DHouse dust mite
2.Easy
How is most oxygen carried in the blood?
- ADissolved freely in the plasma water
- BCarried as bicarbonate ions in the plasma
- CBound to haemoglobin in red blood cells
- DBound to albumin and other plasma proteins
3.Easy
What is the main function of the epiglottis?
- AIt covers the entrance to the larynx during swallowing
- BIt vibrates to produce the sound of the voice when speaking
- CIt warms and moistens the air on its way into the lungs
- DIt divides the trachea into two bronchi
4.Medium
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AOnly when walking outside
- BOnly during meals
- CAbout one hour each morning
- DAt least 15 hours a day
5.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
- BAn accurate, recent body weight is recorded
- CThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
- DA chest drain is in place
6.Medium
When should an adult with cystic fibrosis take pancreatic enzyme capsules?
- AOnly when they have diarrhoea
- BOnce a day on waking, at least an hour before any food
- CWith all meals and snacks that contain fat
- DOnly at bedtime
7.Hard
The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?
- AFailure to capture
- BFailure to sense
- CNormal pacemaker function
- DAtrial fibrillation
8.Hard
Before the morning dose of digoxin, a patient's apical pulse is 54/min and they feel nauseated. What should the nurse do?
- AGive half the dose and recheck the pulse in an hour
- BGive the dose, because only a radial pulse counts
- CGive the dose and an antiemetic, then recheck the pulse tomorrow
- DWithhold the dose and report it, as toxicity is possible
Answer key
- 1. D · House dust mite
- 2. C · Bound to haemoglobin in red blood cells
- 3. A · It covers the entrance to the larynx during swallowing
- 4. D · At least 15 hours a day
- 5. B · An accurate, recent body weight is recorded
- 6. C · With all meals and snacks that contain fat
- 7. A · Failure to capture
- 8. D · Withhold the dose and report it, as toxicity is possible
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