NMC CBT NMC-CBT Basic Life Support and Emergency Management 5

Question 1

A patient develops hypoglycaemia (BM 2.1 mmol/L) and is drowsy but able to swallow. What is the MOST appropriate initial treatment?

Accepted Answer

15-20g of fast-acting carbohydrate orally

Answer

For a conscious patient who can swallow, 15-20g of fast-acting carbohydrate (e.g., glucose tablets or Lucozade) is the first-line treatment for hypoglycaemia.

Question 2

During an ABCDE assessment, a trauma patient has a respiratory rate of 30, SpO2 90%, and reduced air entry on the left. What single intervention should be done first?

Accepted Answer

Apply high-flow oxygen via non-rebreather mask

Answer

Applying high-flow oxygen is always the first 'B' (Breathing) intervention while simultaneously assessing the cause of hypoxia.

Question 3

When performing CPR, which of the following indicates adequate chest compressions?

Accepted Answer

A capnography waveform with ETCO2 >10 mmHg

Answer

An end-tidal CO2 (ETCO2) >10 mmHg during CPR indicates adequate cardiac output and is the best real-time quality indicator.

Question 4

A patient is found unconscious. The nurse suspects a spinal injury following a fall. How should the airway be opened?

Accepted Answer

Jaw thrust without head extension

Answer

The jaw thrust manoeuvre opens the airway with minimal cervical spine movement and is preferred when spinal injury is suspected.

Question 5

A patient in cardiac arrest has achieved ROSC. The team notices the rhythm is sinus bradycardia at 38 bpm with hypotension. What is the first-line pharmacological treatment?

Accepted Answer

Atropine 500 micrograms IV

Answer

Atropine 500 micrograms IV is the first-line drug for symptomatic bradycardia post-ROSC, and may be repeated up to 3mg total.

(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 5