NMC CBT NMC-CBT Basic Life Support and Emergency Management 4

Question 1

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

Accepted Answer

Cardiac tamponade

Answer

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

Question 2

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

Accepted Answer

Every 3-5 minutes (every other CPR cycle)

Answer

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

Question 3

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

Accepted Answer

Recovery position and continuous monitoring

Answer

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

Question 4

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

Accepted Answer

Ensure all rescuers are clear of the patient and bed

Answer

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

Question 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?

Accepted Answer

High (score ≥7) — emergency response required

Answer

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

(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 4