1.Easy
Oxytocin is used in obstetrics mainly to:
- ALower blood pressure in pre-eclampsia
- BInduce or strengthen contractions and prevent postpartum bleeding
- CMature the fetal lungs before birth
- DStop preterm labour by relaxing the uterine muscle
2.Easy
What does "bacteriostatic" mean?
- AThe drug prevents the patient's immune response
- BThe drug kills bacteria directly by breaking down their cell wall
- CThe drug stops bacteria multiplying without killing them directly
- DThe drug kills viruses as well as bacteria
3.Easy
What is a "superinfection" during antibiotic treatment?
- AAn infection that is cured by a single antibiotic dose
- BAn infection that spreads from one patient to another on the ward
- CA very severe form of the original infection
- DA new infection because normal body flora are disturbed
4.Medium
How can the absorption of oral iron be improved?
- ATake it with a cup of strong tea
- BTake it at the same time as an antacid to protect the stomach
- CTake it with vitamin C, such as orange juice, on an empty stomach
- DTake it with a glass of milk
5.Medium
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
- ATake paracetamol regularly so that fevers do not show
- BReport a temperature of 38 °C (100.4 °F) or higher straight away
- CExercise in crowded gyms to build strength
- DEat plenty of raw shellfish to boost protein
6.Medium
Which factor increases the risk of lithium toxicity?
- ADehydration
- BDrinking extra water
- CTaking the dose with food
- DA high-salt diet
7.Hard
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
- AGive the patient's own warfarin brought from home without an order
- BTell the patient to stop warfarin permanently
- CAssume the omission is intended and do nothing
- DClarify the omission with the prescriber (medication reconciliation)
8.Hard
Two days after starting chemotherapy for a leukaemia with a high white cell count, a patient has reduced urine output. Which lab pattern suggests tumour lysis syndrome?
- AHigh potassium, high phosphate, high uric acid and low calcium
- BNormal electrolytes with a high haemoglobin
- CHigh sodium, high glucose and low potassium
- DLow potassium, low phosphate, low uric acid and high calcium
Answer key
- 1. B · Induce or strengthen contractions and prevent postpartum bleeding
- 2. C · The drug stops bacteria multiplying without killing them directly
- 3. D · A new infection because normal body flora are disturbed
- 4. C · Take it with vitamin C, such as orange juice, on an empty stomach
- 5. B · Report a temperature of 38 °C (100.4 °F) or higher straight away
- 6. A · Dehydration
- 7. D · Clarify the omission with the prescriber (medication reconciliation)
- 8. A · High potassium, high phosphate, high uric acid and low calcium
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