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DOH Emergency & Critical Care Practice Questions
Emergency questions test BLS and ACLS knowledge, shock, anaphylaxis, sepsis and heat illness, which is highly relevant in the Gulf. Below are 5 free sample questions for the DOH Registered Nurse exam, each with the answer and a rationale.
What this topic covers
- Adult, child and infant CPR (AHA guidelines)
- Shockable vs non-shockable rhythms
- Anaphylaxis and IM adrenaline
- Types of shock
- Sepsis and early warning signs
- Heat stroke vs heat exhaustion
The full bank has 100 emergency & critical care questions, part of 1,500 questions across 16 nursing topics.
Free DOH emergency & critical care questions
1. What is the primary underlying problem in all types of shock?
- A. Elevated blood glucose
- B. High blood pressure
- C. Inadequate tissue perfusion and oxygen delivery
- D. Increased heart rate alone
Show answer and rationale
Shock is a state of inadequate tissue perfusion so that oxygen delivery fails to meet cellular demand, leading to anaerobic metabolism, lactate production and organ dysfunction.
Reference: Lewis Medical-Surgical Nursing – shock
2. An adult in a restaurant is clutching their throat, cannot speak and is unable to cough. What should the nurse do first?
- A. Encourage the person to keep trying to cough
- B. Perform a blind finger sweep of the mouth
- C. Give the person water to drink
- D. Perform abdominal thrusts until the object is expelled or the person becomes unresponsive
Show answer and rationale
Inability to speak or cough indicates severe airway obstruction, treated with abdominal thrusts in a responsive adult. Blind finger sweeps can push the object further down.
Reference: AHA BLS 2020 – choking
3. A patient's blood pressure is 120/60 mmHg. What is the calculated mean arterial pressure?
- A. 80 mmHg
- B. 90 mmHg
- C. 60 mmHg
- D. 100 mmHg
Show answer and rationale
MAP = (systolic + 2 × diastolic) ÷ 3 = (120 + 120) ÷ 3 = 80 mmHg.
Reference: Critical care nursing – haemodynamic monitoring
4. An adult has a definite pulse but is not breathing. How should the nurse provide rescue breathing?
- A. 1 breath every 2 to 3 seconds
- B. 2 breaths every 30 seconds
- C. 1 breath every 10 seconds
- D. 1 breath every 6 seconds
Show answer and rationale
For an adult in respiratory arrest with a pulse, give 1 breath every 6 seconds (10 per minute) and recheck the pulse about every 2 minutes, starting CPR if the pulse is lost.
Reference: AHA BLS 2020
5. A nurse on a surgical ward is caring for four patients. Which patient should be assessed first?
- A. A patient with a fractured wrist rating pain 6/10
- B. A post-operative patient with a heart rate of 128, blood pressure 86/50 mmHg and new confusion
- C. A patient with type 2 diabetes whose glucose is 9.2 mmol/L (166 mg/dL)
- D. A patient with a temperature of 37.9 °C who is otherwise stable
Show answer and rationale
Tachycardia, hypotension and new confusion after surgery suggest shock with reduced cerebral perfusion, a life-threatening circulatory problem requiring immediate assessment.
Reference: Saunders NCLEX review – prioritisation
Study tip
Know the CPR numbers exactly: rate 100–120 per minute, depth 5–6 cm in adults, and 30:2 without an advanced airway.
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