1.Easy
Which of these is a live attenuated vaccine?
- AMMR (measles, mumps and rubella)
- BHepatitis B vaccine
- CInactivated influenza injection
- DTetanus toxoid
2.Easy
Which drug is used as an antidote for cyanide poisoning?
- AHydroxocobalamin
- BVitamin K
- CProtamine sulfate
- DDeferoxamine
3.Easy
A fentanyl patch applied to the skin is an example of which route?
- AIntradermal
- BSubcutaneous
- CTransdermal
- DSublingual
4.Medium
Which assessment is most important before giving a dose of IV morphine?
- APupil size and hearing
- BBowel sounds and urine colour
- CBlood glucose and temperature, checked before each dose
- DRespiratory rate and level of sedation
5.Medium
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it at bedtime, because it can cause dizziness and fainting
- BTake it in the morning with a cup of strong coffee to stay alert
- CExpect a short rise in blood pressure after the dose
- DTake it only if the urine is darker than usual
6.Medium
How does metformin mainly lower blood glucose?
- AIt blocks glucose absorption in the kidney
- BIt reduces glucose production by the liver
- CIt replaces missing insulin
- DIt stimulates insulin release from the pancreas
7.Hard
An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?
- ALow serum glucose
- BLow serum magnesium
- CHigh serum calcium
- DHigh serum sodium
8.Hard
A patient taking warfarin asks for something for a headache. Which drug is usually the safest choice?
- AParacetamol (acetaminophen)
- BIbuprofen, at the lowest dose
- CNaproxen
- DAspirin
Answer key
- 1. A · MMR (measles, mumps and rubella)
- 2. A · Hydroxocobalamin
- 3. C · Transdermal
- 4. D · Respiratory rate and level of sedation
- 5. A · Take it at bedtime, because it can cause dizziness and fainting
- 6. B · It reduces glucose production by the liver
- 7. B · Low serum magnesium
- 8. A · Paracetamol (acetaminophen)
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