Question 1: | Explain the difference between ACE (Angiotensin converting enzyme) inhibitors and ARBs (Angiotensin receptor blockers). You must include the mechanism of action for each in your explanation (100 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: ACE (angiotensin converting enzyme
ARBs (Angiotensin receptors blockers is anti-hypertensive medication they block the body from being able to respond
| Mark/4
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Question 2: | Explain how beta blockers can lower blood pressure and heart rate. You must include the mechanism of action in your answer (100 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: Beta blockers works mainly by slowing down the heart byreducing blood pressure. It works by blocking the effect of the hormone epinephrine, also known as adrenaline. Beta blocker cause your heart to beat more slowly and less force, which lowers blood pressure. | Mark/4 |
Question 3: | Why are people with Parkinson’s disease a dopamine agonist?You much include the mechanism of action in your answer (70 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Mark/3 |
Question 4: | Why are people who have delirium given antipsychotic medications? Explain how the medication works on delirium (70 words max) | Satisfactory response |
Yes☐ | No☐ |
| Mark/3 |
Question 5: | Explain how oral hypoglycaemic medications work on the 4 different areas of the body (150 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: | Mark/9 |
Question 6: | Name three (3) considerations important to a nurse when administering insulin (70 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Mark/3 |
Question 7. | Name all considerations the are important to a nurse when administering: Warfarin (70 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Mark/5 |
Question 8. | Name 3 conditions/situations in which an anticoagulant is indicated (20 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: | Marks/3 |
Question 9. | Why would a patient be prescribed a corticosteroid if they have asthma? (70 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: | Marks/3 |
Question 10. | Describe how you would give an intramuscular injection. Include needle gage, and amount injected (70 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Mark/3 |
Question 11. | Name all the areas you can inject for a subcutaneous injection (S/C) (max 20 words) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Mark/3 |
End of General knowledge questions
/ 43 marks
Case study questions – 3 questions
Case study 1:
Mr Jones has been admitted to the hospital for an angiogram. The nurse admits him and makes a note of the medications he is on:
·Metoprolol ·Amlodipine ·Clexane ·Gliclazide The nurse gives him all his medications and leaves the room. Mr Jones calls for the nurse because he doesn’t feel well, the nurse does a set of vital observations, check his blood glucose level and check his bloods and finds the following BP: 123/64 HR: 53 SpO2: 96% on room air RR: 10 BGL 5.3 K: 4.1 Na: 136 The nurse decides to withhold one of Mr Jones medications and report it to the nurse in charge and the doctor.
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Question 1: | Which medication is within a nurse’s scope of practice to withhold? Explain why you picked the medication, why it was withheld and the consequences of not withholding it (100 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Marks/5 |
Case study 2:
Mrs Smith has come into hospital pre operatively for surgery to place a Deep Brain Stimulator in her brain. The nurse admits her and makes a list of her medications. She is on the following
·Phenytoin ·Madopar ·Peridopril
The nurse was in a rush and had to prioritise Mrs Smith’s medications. So the nurse did a set of vital observations, checked her blood glucose levels and her blood results. The nurse only gave Mrs Smith one of her medications and plans to come back in 20 minutes and give her the rest. BP: 123/64 HR: 73 SpO2: 97% on room air RR: 12 BGL: 6.3 Na: 137 K: 3.9
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Question 1: | Which medication did the nurse decide to give immediately and why? Please explain the importance of giving this medication on time, and the consequences of not giving it on time (100 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Marks/4 |
Case study 3:
Mr Singh presents to the hospital feeling very unwell and is short of breath. The nurse takes a set of vital observations, checks Mr Singh’s blood glucose level and other blood test results and finds the following: BP: 180/80 HR: 95 RR: 35 SpO2: 90% on room air BGL: 4.6 Na:142 K: 3.8 The nurse also takes a patient history and finds that Mr Singh has a few medical conditions, which includes: ·Type 2 diabetes mellitus ·Congestive cardiac failure ·Atrial fibrillation The nurse makes a list of medications that Mr Singh is on: ·Metformin 500mg daily ·Warfarin 2mg daily ·Frusemide 20mg daily ·Metoprolol 25mg daily The nurse gives all this information to the doctor and the doctor decides to increase one of Mr Singh’s medications. |
Question 1: | Taking into consideration all the information above, which medication did the doctor increase? In your explanation you must include: ·The mechanism of the medication to help explain your medication choice ·The symptoms the were treated by increasing this medication ·The observations were treated by increasing this medication (150 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer:
| Marks/10 |
End of Case study questions
/19 marks
Critical thinking questions – 12 questions
Scenario 1:
Mr Kaur present to the emergency department. He tells the doctor he is experiencing crushing chest pain. The doctor prescribes glyceryl nitrate (GTN) sub lingual (S/L) 300mcg every 10 minutes until the chest pain resolves. The nurse administers the GTN and checks Mr Kaur’s blood pressure (BP) regularly
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Question 1: | Explain how glyceryl nitrate (GTN) is used to treat chest pain and why the nurse was checking Mr Kaur’s blood pressure regularly specifically to this situation? (100 words max) | Satisfactory response |
Yes☐ | No☐ |
Answer: GTN is used for heart failure, high blood pressure. It works in relaxing the blood vessels and this reduce the strain on your heart, making it easier for your heart to pump blood around your body.it used and prevent chest pain caused by decreased blood flow to the heart.
| Marks/5 |
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