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

The nurse must withhold the drug, clearly document the allergy, and promptly inform the prescriber to obtain an alternative.

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

Post-ROSC, oxygen saturation should be titrated to 94-98% to avoid the harmful effects of hyperoxia.

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

The priority is to obtain a 12-lead ECG and ensure urgent medical review to identify and treat potential STEMI within door-to-balloon time targets.

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

The standard adult CPR ratio is 30 compressions to 2 ventilations, regardless of the number of rescuers with an unprotected airway.

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

Naloxone is the specific opioid antagonist used to reverse opioid-induced respiratory depression and altered consciousness.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

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