NMC Clinical 3

Question 1

A patient develops sudden urticaria, bronchospasm, and hypotension minutes after receiving IV penicillin. What is the FIRST intervention?

Accepted Answer

Administer IM adrenaline (epinephrine) 0.5 mg

Answer

IM epinephrine (adrenaline) 0.5 mg into the outer thigh is the immediate first-line treatment for anaphylaxis.

Question 2

A post-surgical patient has a temperature of 38.6°C, HR 104 bpm, RR 23/min, and WBC 16,000/mm³. What condition should the nurse suspect?

Accepted Answer

Sepsis

Answer

These findings meet SIRS criteria in the context of a potential infection, indicating sepsis requiring urgent escalation.

Question 3

A patient with confirmed pulmonary tuberculosis requires isolation. Which type of precaution is REQUIRED?

Accepted Answer

Airborne precautions in a negative-pressure room

Answer

Pulmonary TB spreads via airborne particles requiring a negative-pressure room and N95 respirators for staff.

Question 4

A nurse discovers an unresponsive patient in bed and calls for help. What is the NEXT immediate step?

Accepted Answer

Open the airway and check for breathing

Answer

After calling for help, the nurse must open the airway and check for breathing to determine whether CPR is required.

Question 5

Where should a tourniquet be applied when controlling severe limb hemorrhage?

Accepted Answer

5–8 cm proximal to the wound

Answer

A tourniquet must be placed 5–8 cm proximal (above) the wound on the limb to occlude blood flow effectively.

(NMC) Nursing Midwifery Council Practice Test