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NMC-CBT Basic Life Support and Emergency Management Flashcards

7 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 NMC-CBT Basic Life Support and Emergency Management flashcards as text

  1. A patient receiving IV heparin develops sudden hypotension, tachycardia, and distended neck veins with muffled heart sounds. Which condition does this presentation suggest?

    Answer: Cardiac tamponade

    Beck's triad — hypotension, raised JVP with distended neck veins, and muffled heart sounds — is classic for cardiac tamponade.

  2. During CPR, adrenaline 1mg IV is indicated. How frequently should adrenaline be given for a non-shockable rhythm?

    Answer: Every 3-5 minutes (every other CPR cycle)

    Adrenaline 1mg IV should be administered every 3-5 minutes (approximately every other 2-minute CPR cycle) during cardiac arrest.

  3. A nurse finds a patient with a GCS of 8 following a seizure. Using the ABCDE approach, what airway intervention takes priority?

    Answer: Recovery position and continuous monitoring

    A post-ictal patient with GCS 8 who is breathing should be placed in the recovery position to protect the airway and continuously monitored.

  4. When defibrillation is required during resuscitation, which safety step must be completed immediately before delivering the shock?

    Answer: Ensure all rescuers are clear of the patient and bed

    All rescuers must stand clear of the patient and any conductive surfaces before a shock is delivered to prevent injury.

  5. A patient in sinus rhythm develops a sudden GCS drop to 9, SpO2 87% on room air, and RR 28. Which NEWS2 response level is most appropriate?

    Answer: High (score ≥7) — emergency response required

    A NEWS2 score ≥7 triggers an emergency response; this patient's altered consciousness, hypoxia, and tachypnoea will generate a high aggregate score.

  6. A child (approximately 8 years old) is found unresponsive and not breathing normally. At what compression-to-ventilation ratio should CPR be performed by a lone healthcare rescuer?

    Answer: 15:2

    For a child in cardiac arrest, the recommended ratio for healthcare rescuers is 15 compressions to 2 ventilations.

  7. A patient is in ventricular fibrillation. After the first shock, CPR is immediately resumed. At what point should the rhythm be re-analysed?

    Answer: After 2 minutes of CPR

    Following defibrillation, CPR is continued for 2 minutes before the next rhythm analysis to allow the heart time to perfuse.