1.Easy
Loperamide is used to treat:
- AHeartburn
- BConstipation
- CDiarrhoea
- DNausea
2.Easy
Which class of drug is used to relieve an acute asthma attack?
- AShort-acting beta-2 agonists
- BACE inhibitors
- CBeta blockers
- DAntihistamines
3.Easy
Which drug reverses the effect of heparin?
- AFlumazenil
- BNaloxone
- CVitamin K
- DProtamine sulfate
4.Medium
Which patient should usually not receive a live vaccine?
- AA patient with mild seasonal allergies
- BA patient receiving chemotherapy for leukaemia
- CA healthy adult nurse who works on a children's ward
- DA healthy 1-year-old child
5.Medium
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
- AInject into a vein on the back of the hand
- BInject into the abdomen away from the navel and do not rub the site afterwards
- CExpel the air bubble from the syringe first, then inject into the deltoid muscle
- DMassage the site well for one minute after the injection
6.Medium
Why is propranolol usually avoided in patients with asthma?
- AIt increases mucus production by blocking histamine
- BIt blocks beta-2 receptors in the airways and can cause bronchospasm
- CIt stimulates alpha-1 receptors in the airways and raises blood pressure
- DIt causes tolerance to inhaled corticosteroids
7.Hard
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
- ALower blood glucose, so the diabetes medicines should be stopped
- BNo change in glucose, as steroids act only in the lungs
- CLower potassium only, with no effect on glucose
- DHigher blood glucose, so more frequent glucose checks are needed
8.Hard
Why is clavulanic acid combined with amoxicillin (co-amoxiclav)?
- AIt reduces the risk of penicillin allergy
- BIt slows the kidney excretion of amoxicillin
- CIt makes amoxicillin cross the blood–brain barrier more easily
- DIt inhibits beta-lactamase enzymes that would destroy amoxicillin
Answer key
- 1. C · Diarrhoea
- 2. A · Short-acting beta-2 agonists
- 3. D · Protamine sulfate
- 4. B · A patient receiving chemotherapy for leukaemia
- 5. B · Inject into the abdomen away from the navel and do not rub the site afterwards
- 6. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
- 7. D · Higher blood glucose, so more frequent glucose checks are needed
- 8. D · It inhibits beta-lactamase enzymes that would destroy amoxicillin
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