1.Easy
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
- ATo protect the drug from light
- BBecause cytotoxic drugs are radioactive and give off radiation
- CTo avoid exposure to drugs that may cause cancer or birth defects
- DTo keep the drugs warm during the infusion
2.Easy
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
- ADiarrhoea
- BInsomnia
- CDrowsiness
- DRaised blood pressure
3.Easy
Tamoxifen is used mainly to treat:
- AProstate enlargement and prostate cancer in older men
- BOsteoarthritis
- COestrogen receptor-positive breast cancer
- DType 2 diabetes
4.Medium
Which description fits tardive dyskinesia?
- AA sudden painful spasm of the neck muscles and upward rolling of the eyes within days of the first dose
- BInvoluntary movements of the lips, tongue and face after long-term antipsychotic use
- CA low white cell count with sore throat and fever
- DHigh fever with lead-pipe rigidity and confusion
5.Medium
How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?
- APush the pinna forward and up
- BLeave the ear untouched and drop into the canal
- CPull the pinna up and back
- DPull the pinna down and back
6.Medium
A person who has never been vaccinated against tetanus has a deep, dirty wound. What is usually given?
- ATetanus vaccine and tetanus immunoglobulin
- BOral antibiotics only
- CNo treatment unless symptoms appear
- DTetanus vaccine only, after the wound heals
7.Hard
A patient with HIV has a CD4 count below 200 cells/mm3. Which prophylaxis is usually started?
- AIsoniazid to prevent hepatitis B
- BFluconazole to prevent urinary and skin infections
- CCo-trimoxazole to prevent Pneumocystis pneumonia
- DOseltamivir to prevent influenza
8.Hard
A patient taking sertraline starts St John's wort for low mood. What is the main concern?
- ABleeding from vitamin K deficiency
- BA hypertensive crisis from tyramine
- CSerotonin syndrome from combined serotonergic effects
- DSevere low blood pressure from blocked alpha receptors
Answer key
- 1. C · To avoid exposure to drugs that may cause cancer or birth defects
- 2. C · Drowsiness
- 3. C · Oestrogen receptor-positive breast cancer
- 4. B · Involuntary movements of the lips, tongue and face after long-term antipsychotic use
- 5. D · Pull the pinna down and back
- 6. A · Tetanus vaccine and tetanus immunoglobulin
- 7. C · Co-trimoxazole to prevent Pneumocystis pneumonia
- 8. C · Serotonin syndrome from combined serotonergic effects
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