1.Easy
Which class of drug is used to relieve an acute asthma attack?
- AShort-acting beta-2 agonists
- BBeta blockers
- CAntihistamines
- DACE inhibitors
2.Easy
How does allopurinol prevent gout?
- AIt increases the kidney excretion of calcium
- BIt dissolves crystals already in the joint within hours
- CIt blocks prostaglandins in the inflamed joint
- DIt inhibits xanthine oxidase, so less uric acid is made
3.Easy
What is the main role of inhaled corticosteroids in asthma?
- ATo relieve sudden bronchospasm within minutes
- BTo kill bacteria in the airways
- CTo reduce airway inflammation and prevent attacks
- DTo thin mucus so it can be coughed up
4.Medium
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
- ATemperature of 37.2 °C (99 °F)
- BHeart rate of 88 per minute
- CHaemoglobin slightly below normal
- DBlood pressure of 160/105 mmHg
5.Medium
Ipratropium is a bronchodilator used in COPD. How does it work?
- AIt stimulates beta-2 adrenergic receptors in the airways
- BIt blocks leukotriene receptors
- CIt reduces inflammation like a corticosteroid
- DIt blocks muscarinic receptors in airway smooth muscle
6.Medium
After a vaccination, why is a person asked to wait for a short time before leaving?
- ATo make sure the injection site does not bruise
- BTo check that the vaccine has already created protective antibodies
- CTo measure the person's temperature for fever
- DTo watch for anaphylaxis, which usually starts within minutes
7.Hard
A patient taking a GLP-1 receptor agonist such as semaglutide has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
- AAcute pancreatitis; the drug is stopped and urgent assessment arranged
- BConstipation; a laxative will solve the problem
- CHypoglycaemia; the patient should eat sweets and continue as usual
- DExpected nausea; the patient should take the next dose with food
8.Hard
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
- ADigoxin
- BAmiodarone
- CAdenosine
- DVerapamil
Answer key
- 1. A · Short-acting beta-2 agonists
- 2. D · It inhibits xanthine oxidase, so less uric acid is made
- 3. C · To reduce airway inflammation and prevent attacks
- 4. D · Blood pressure of 160/105 mmHg
- 5. D · It blocks muscarinic receptors in airway smooth muscle
- 6. D · To watch for anaphylaxis, which usually starts within minutes
- 7. A · Acute pancreatitis; the drug is stopped and urgent assessment arranged
- 8. B · Amiodarone
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