1.Easy
What does the term "afterload" describe?
- AThe volume of blood returning to the right atrium each minute
- BThe time the heart takes to relax after each beat
- CThe resistance the ventricle must overcome to eject blood
- DThe stretch of the ventricle before it contracts
2.Easy
Which symptom lasting more than three weeks is a classic warning sign of laryngeal cancer?
- AMild sneezing and a runny nose in the morning
- BPersistent hoarseness of the voice
- CItching of the eyes
- DOccasional hiccups
3.Easy
Which chamber of the heart pumps blood into the aorta?
- AThe left atrium
- BThe right ventricle
- CThe left ventricle
- DThe right atrium
4.Medium
A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?
- AMechanical valves last longer but need lifelong anticoagulation
- BBoth types need no medicines after surgery
- CMechanical valves wear out within one year
- DBiological valves last longer but need lifelong warfarin
5.Medium
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ACover the site and keep using it until it blocks
- BLeave it in place, as this is normal after 24 hours
- CFlush the cannula hard to clear it
- DRemove the cannula, document and monitor the site
6.Medium
A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?
- AFlat on the back with the arms raised
- BSitting fully upright at all times
- CWith the affected lobe uppermost so gravity drains it
- DWith the affected lobe lowest so it fills with mucus
7.Hard
After chest trauma, a patient is hypotensive with reduced breath sounds on the left. Which finding suggests a haemothorax rather than a tension pneumothorax?
- ADullness to percussion on the affected side
- BHyper-resonance on the affected side
- CDistended neck veins
- DTrachea pushed away from the affected side
8.Hard
A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?
- AA patient after a PCI asking for a cup of tea
- BA patient with a DVT whose leg is less swollen today
- CA patient with heart failure who is newly confused, with SpO₂ 89%
- DA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him
Answer key
- 1. C · The resistance the ventricle must overcome to eject blood
- 2. B · Persistent hoarseness of the voice
- 3. C · The left ventricle
- 4. A · Mechanical valves last longer but need lifelong anticoagulation
- 5. D · Remove the cannula, document and monitor the site
- 6. C · With the affected lobe uppermost so gravity drains it
- 7. A · Dullness to percussion on the affected side
- 8. C · A patient with heart failure who is newly confused, with SpO₂ 89%
Full step-by-step solutions: practise this topic on examproblems.com.