NMC CBT NMC-CBT Basic Life Support and Emergency Management 3

Question 1

A patient with a known penicillin allergy is prescribed co-amoxiclav. The nurse notices this before administration. What is the MOST appropriate immediate action?

Accepted Answer

Withhold the drug and document the allergy clearly in the notes

Answer

Administer the drug as prescribed by the doctor

Answer

Administer half the dose and monitor for reaction

Answer

Contact pharmacy to confirm compatibility

Question 2

During post-resuscitation care, what is the target oxygen saturation for a patient who has achieved return of spontaneous circulation (ROSC)?

Accepted Answer

94-98%

Answer

100%

Answer

88-92%

Answer

90-94%

Question 3

A patient presents with sudden onset severe chest pain radiating to the jaw and left arm, diaphoresis, and nausea. What is the nurse's priority action?

Accepted Answer

Request a 12-lead ECG and call for urgent medical review

Answer

Administer GTN spray and reassess

Answer

Position the patient and give oral aspirin 300mg

Answer

Draw blood for troponin immediately

Question 4

What is the correct ratio of compressions to ventilations for two-rescuer adult CPR with an unprotected airway?

Accepted Answer

30:2

Answer

15:2

Answer

20:2

Answer

30:1

Question 5

A patient collapses after receiving an IV opioid infusion and is found unresponsive with pinpoint pupils and a respiratory rate of 4 breaths per minute. What is the priority reversal agent?

Accepted Answer

Naloxone IM or IV

Answer

Flumazenil IV

Answer

Activated charcoal orally

Answer

Atropine IV

Question 6

A patient on a ward develops a tension pneumothorax during resuscitation. Which clinical finding most strongly suggests this diagnosis?

Accepted Answer

Tracheal deviation away from the affected side with absent breath sounds

Answer

Bilateral equal breath sounds

Answer

SpO2 of 88% on high-flow oxygen

Answer

Raised JVP with muffled heart sounds

Question 7

When should chest compressions be paused during an AED-guided resuscitation attempt?

Accepted Answer

Only when the AED is analysing rhythm or delivering a shock

Answer

Every minute to check for pulse

Answer

When IV access is being established

Answer

When the patient shows signs of movement