NMC CBT NMC-CBT Medicines Management and Pharmacology 3

Question 1

A patient is receiving a continuous IV infusion of heparin. Which laboratory test is used to monitor its therapeutic effect?

Accepted Answer

APTT (Activated Partial Thromboplastin Time)

Answer

APTT is the standard monitoring test for unfractionated heparin therapy, with a therapeutic target typically 1.5–2.5 times the control value.

Question 2

A patient with type 1 diabetes is nil by mouth before surgery. What is the most appropriate action regarding their insulin?

Accepted Answer

Continue long-acting insulin and start a variable rate IV insulin infusion

Answer

Patients with type 1 diabetes require basal insulin even when fasting; a variable rate IV insulin infusion (VRIII) should be commenced perioperatively.

Question 3

Which of the following is the antidote for paracetamol overdose?

Accepted Answer

Acetylcysteine (N-acetylcysteine)

Answer

N-acetylcysteine (Parvolex) replenishes glutathione stores and prevents hepatotoxicity caused by paracetamol overdose.

Question 4

A nurse is preparing to give an intramuscular injection of metoclopramide. Which site is most commonly used for IM injections in adults?

Accepted Answer

Ventrogluteal site

Answer

The ventrogluteal site is now the preferred IM injection site in adults due to fewer major blood vessels and nerves, lower infection risk, and larger muscle mass.

Question 5

What does a 'black triangle' symbol (▼) on a medication mean in the UK?

Accepted Answer

The medication is subject to additional monitoring by the MHRA

Answer

The black triangle indicates that the medicine is subject to additional monitoring, and healthcare professionals and patients are encouraged to report all suspected side effects.

(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 Medicines Management and Pharmacology 3