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NS 5 Revision_ Quiz

Total questions: 20

Worksheet time: 6mins

Name
Class
Date
1.

Read the attached scenario to answer questions 1.1 to 1.5.


1.1 Based on Jonathan's clinical presentations, he is likely to be suffering from acute______

a)

pulmonary oedema

b)

exacerbation of asthma

c)

respiratory distress syndrome

d)

exacerbation of chronic obstructive pulmonary disease

2.
1.2 Which patient acuity category (PAC) will the triage nurse placed Jonathan in?
a)
PAC 1
b)
PAC 2
c)
PAC 3
d)
PAC 4
3.
1.3 The immediate management for Jonathan is to administer
a)
corticosteroid orally
b)
intravenous antibiotics
c)
inhaled salbutamol and ipratropium
d)
high flow oxygen till Sp02 is 94-98%
4.

1.4 An arterial blood gas (ABG) sample was obtained one hour from admission. Refer to the attached image and analyse the ABG:

a)

Patially compensated respiratory acidosis

b)

Fully compensated metabolic alkalosis

c)

Fully compensated respiratory acidosis

d)

Partially compensated respiratory alkalosis

5.

1.5 Jonathan was scheduled for discharge four days later. He was informed to __________

a)

take cough suppressants for the persistent cough

b)

consume a high caloric diet to meet the increased metabolic demands

c)

take corticosteroid inhaler during an acute episode of breathlessness

d)

vaccinate against pneumonia and influenza annually to decrease recurrence of exacerbation.

6.

Read the attached scenario to answer questions 1.6 to 1.10


1.6 The treatment of priority for neurosurgical care is to _____

a)

give intravenous 0.45% sodium chloride as fluid replacement

b)

elevate head of bed to 90 degrees to optimize venous outflow

c)

administer intravenous mannitol to decrease intracranial pressure

d)

hyperventilate to a target partial pressure of carbon dioxide of 25 mmHg

7.

1.7 Which one of the following statement is true about the management of EVD? The EVD_____

a)

fluid Is observed for colour and clarity for presence of infection

b)

is positioned higher than the level of foramen of monro for drainage

c)

system remains unclamped during transfers to maintain continuous drainage

d)

is levelled from the transducer to the patient's external auditory meatus daily for accuracy

8.

1.8 To prevent EVD related infection, the nurse will ______

a)

ensure the EVD is a closed system

b)

routinely change drain tubing every 3 days

c)

check EVD output only when bag is half full

d)

sample cerebrospinal fluid from EVD twice a day

9.

1.9 The nurse witnessed Tim having convulsive seizure lasting close to 10 minutes Tim has ______

a)

epilepsy

b)

petit-mal seizure

c)

status epilepticus

d)

complex partial seizure

10.

1.10 Tim should be treated immediately with intravenous _______ to control his seizure.

a)

lorazepam

b)

fosphenytoin

c)

phenobarbital

d)

carbamazepine

11.

Read the attahed scenario to answer questions 1.11 to 1.15


1.11 Analyse the above information and choose the most appropriate answer.

a)

Elisa has bradycardia.

b)

lisa has alcoholic intoxication.

c)

Elisa is going into anaphylactic shock.

d)

lisa manifest signs of central nervous system depression.

12.
1.12 Which patient acuity category (PAC) will the triage nurse placed Elisa in?
a)
PAC 1
b)
PAC 2
c)
PAC 3
d)
PAC 4
13.
1.13 The immediate management for Elisa is to perform _______
a)
haemodialysis to enhance elimination
b)
gastric decontamination with activated charcoal
c)
intubation and artificial ventilation to support the airway
d)
gastric lavage to remove remaining substances in the stomach
14.

1.14 The competitive receptor antagonist that can be used as an antidote is

a)

atropine

b)

naloxone

c)

flumazenil

d)

N-acetylcysteine

15.

1.15 Shortly after administration of the antidote, Elisa's cardiac monitor displayed the rhythm as attached.

The immediate intervention is to _______

a)

start chest compression

b)

defibrillate with 150 joules

c)

give intravenous amiodarone 300 mg

d)

administer intravenous adrenaline 1 mg

16.

Read the attached scenario to answer questions 1.16 to 1.20


1.16 Which patient acuity category (PAC) will the triage nurse placed John in?

a)

PAC 1

b)

PAC 2

c)

PAC 3

d)

PAC 4

17.
1.17 John has developed______ shock.
a)
septicaemic
b)
anaphylactic
c)
haemorrhagic
d)
hypovolaemic
18.
1.18 The treatment of priority for John is to ________
a)
obtain an urgent endoscopy appointment
b)
insert nasogastric tube and perform gastric lavage
c)
resuscitation with adequate blood and intravenous fluids
d)
administer intravenous infusion of proton pump inhibitors
19.

1.19 The acronym AMPLE was used to obtain a focused history from John. Which of the following history taken is correct? ( Refer to attached image for the scenario if needed)

a)

A = Allergies (John has allergies)

b)

M= Medications (John takes ibuprofen and aspirin)

c)

P = Previous medical history (John has a past medical history of arthritis)

d)

LE= Last meal and events (John coughed up blood prior to admission and could not recall when was his last meal)

20.
1.20 John's urinary output is less than 500 ml in the last 24 hours. John developed an acute renal failure from ______
a)
overuse of NSAlDs
b)
blockage of the urinary tract
c)
  direct damage to the kidneys
d)
decreased blood flow to the kidneys