1.Easy
Why is vitamin K given to newborn babies?
- ATo protect against hepatitis B
- BTo prevent vitamin K deficiency bleeding
- CTo improve weight gain
- DTo prevent neonatal jaundice in the first week
2.Easy
Benzodiazepines such as diazepam work by enhancing the effect of which neurotransmitter?
- AGlutamate
- BSerotonin
- CNoradrenaline
- DGABA
3.Easy
What is the main role of inhaled corticosteroids in asthma?
- ATo reduce airway inflammation and prevent attacks
- BTo relieve sudden bronchospasm within minutes
- CTo kill bacteria in the airways
- DTo thin mucus so it can be coughed up
4.Medium
Intravenous vancomycin is commonly used to treat infections caused by:
- AEscherichia coli
- BPseudomonas aeruginosa
- CMRSA
- DCandida albicans
5.Medium
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
- AStop the infusion, leave the cannula in and follow the protocol
- BIncrease the infusion rate to finish quickly
- CFlush the line with a large volume of saline
- DRemove the cannula at once and massage the area firmly
6.Medium
Which common side effect is typical of ACE inhibitors?
- AHypoglycaemia
- BBradycardia
- CDry cough
- DAnkle swelling caused by vasodilation
7.Hard
Why is gentamicin often given once daily instead of in several small doses?
- AIt has a very long half-life of several days
- BIts killing depends only on the time the level stays above the MIC
- CIt is absorbed slowly from the muscle over 24 hours
- DIts killing depends on high peak levels, with a post-antibiotic effect
8.Hard
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
- AAdditive sedation and respiratory depression
- BDiazepam blocks the effect of methadone completely
- CMethadone causes diazepam to be excreted very quickly
- DSevere hypertension from the combination
Answer key
- 1. B · To prevent vitamin K deficiency bleeding
- 2. D · GABA
- 3. A · To reduce airway inflammation and prevent attacks
- 4. C · MRSA
- 5. A · Stop the infusion, leave the cannula in and follow the protocol
- 6. C · Dry cough
- 7. D · Its killing depends on high peak levels, with a post-antibiotic effect
- 8. A · Additive sedation and respiratory depression
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