1.Easy
Which signs are typical of hypoglycaemia?
- ASweating, shakiness, a fast heart rate and confusion
- BThirst, frequent urination and warm, dry, flushed skin
- CA slow pulse, constipation and weight gain
- DFruity breath with deep, rapid breathing
2.Easy
What is an antagonist?
- AA drug that activates a receptor fully
- BA drug that increases the release of the natural ligand from nerve endings
- CA drug that binds a receptor without activating it and blocks the agonist
- DA drug that is broken down into the active form
3.Easy
What is a "broad-spectrum" antibiotic?
- AOne that acts against many Gram-positive and Gram-negative bacteria
- BOne that is given only intravenously in hospital
- COne that is taken for a long time at low dose to prevent any infection
- DOne that also treats viral and fungal infections
4.Medium
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
- AThiamine (vitamin B1)
- BVitamin K (phytomenadione)
- CVitamin D
- DVitamin C
5.Medium
Which assessments are most important during a magnesium sulfate infusion?
- ATemperature and skin colour only
- BDeep tendon reflexes, respiratory rate and urine output
- CBlood glucose, pupil size and pupil reaction to light
- DBowel sounds and appetite
6.Medium
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
- AIncrease the infusion rate to push through and clear the blockage
- BFlush the cannula forcefully with saline
- CStop the infusion, remove the cannula and elevate the limb
- DApply a tight bandage over the site
7.Hard
The volume of distribution of a drug is very large (for example 500 L in an adult). What does this suggest?
- AThe drug stays almost entirely in the plasma compartment
- BThe drug is extensively taken up into tissues
- CThe drug cannot be given intravenously
- DThe drug is quickly excreted by the kidneys
8.Hard
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
- AHypoglycaemia and weight gain
- BHyperkalaemia and muscle weakness
- CSevere bradycardia and heart block
- DRebound tachycardia and hypertension
Answer key
- 1. A · Sweating, shakiness, a fast heart rate and confusion
- 2. C · A drug that binds a receptor without activating it and blocks the agonist
- 3. A · One that acts against many Gram-positive and Gram-negative bacteria
- 4. A · Thiamine (vitamin B1)
- 5. B · Deep tendon reflexes, respiratory rate and urine output
- 6. C · Stop the infusion, remove the cannula and elevate the limb
- 7. B · The drug is extensively taken up into tissues
- 8. C · Severe bradycardia and heart block
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