The Impact of a New Pedagogical Intervention on Nursing Students’ Knowledge Acquisition in Simulation-Based Learning: A Quasi-Experimental Study

Table 2

Multiple-choice questionnaire.

	Multiple choice questions – tick off the alternatives (the required number) you consider correct.
	Theme: Angina pectoris
1	How does Nitroglycerin (NG) work? Tick off the two alternatives you consider to be correct.
	(i) Reduces the transfer of pain in the nervous system
	(ii) Reduces venous flow to the heart
	(iii) Improves the level of oxygen (pO2) in the blood
	(iv) Can trigger dizziness and fall in blood pressure
2	What are the two symptoms that can be present during an attack of angina pectoris?; Tick off the two alternatives you consider correct.
	(i) Chest pain decreases after intake of NG
	(ii) The patient’s lips turn cyanotic
	(iii) Frequence of pulse and blood pressure will decrease
	(iv) The patient may become winded/breathless during exertion
3	Range in prioritized order the actions you would perform with a patient admitted to hospital with angina pectoris (1 most important – 4 least important)
	(i) Administration of oxygen
	(ii) Insertion of peripheral vein cannula
	(iii) Blood sampling and ECG
	(iv) Administration of nitroglycerin
	Theme: Cardiac arrest
4	Which statements are correct? Tick off two alternatives.
	(i) The most common cause of cardiac arrest is acute heart infarction
	(ii) Cardiac arrest implies that the infarction is large
	(iii) Resuscitation is effective whether it starts at once or after a few minutes
	(iv) Abnormal breathing in an unconscious patient indicates cardiac arrest
5	Which two statements about heart compression are correct?
	(i) Depth of compression should be 5-6 cm
	(ii) Number of compressions should be at least 100/minute
	(iii) The most important to prioritize the first minutes after cardiac arrest is effective heart compression
	(iv) Resuscitation should always start with 30 compressions in a row
6	Range in prioritized order actions with a patient with cardiac arrest
	(i) Alert others (call)
	(ii) Heart compression
	(iii) Ventilation
	(iv) Check if the patient has gotten a pulse again
	Theme: Hypovolemia/bleeding
7	Which two statements are correct concerning bleeding and blood transfusion?
	(i) Blood transfusion is required if hgb falls 20%
	(ii) Bleeding through the bandage after a hip operation indicates a large loss of blood
	(iii) Reactions to a transfusion may normally occur the first 15 minutes after the transfusion has started
	(iv) Blood transfusion is normally required when hgb-values < 7g/100ml
8	What are the symptoms of blood loss/development of shock? Tick off two alternatives you consider correct.
	(i) Low blood pressure (<90 mmHg)
	(ii) Warm and red skin color
	(iii) Slow and irregular pulse
	(iv) Increasing apathy/confusion
9	Tick off two actions you consider most important to prioritize with a patient developing shock
	(i) Administration of oxygen
	(ii) Insert a urinary catheter
	(iii) Intravenous hydration
	(iv) Raise head-end of bed to ease ventilation/respiration
	Theme: COPD
10	What is the meaning of a COPD patient’s habitual spO2 values? Tick off/mark the alternative that is correct (one tick).
	(i) The patient’s spO2 values during the best phase of the disease
	(ii) The patient’s spO2 values during worsening of COPD
	(iii) The patient’s spO2 values with COPD grade 3 or 4
11	Which symptoms are typical during acute worsening of COPD? Tick off two alternatives you consider correct.
	(i) Restless and anxious patient
	(ii) Low values of O2 (spO2) and Co2 (spCo2)
	(iii) Inspirational stridor (difficult to breathe in)
	(iv) Expirational stridor (difficult to breathe out)
12	Tick off two actions you consider most important to prioritize with a patient with worsening COPD
	(i) Administer prescribed medications
	(ii) Abundant administration of oxygen
	(iii) Create a calming environment
	(iv) Measure O2 and CO2 in blood sample before treatment begins
	Theme: Diabetes/hypoglycemia
13	Which keywords match type-1 diabetes? Tick off two alternatives you consider correct.
	(i) Auto-immune disease
	(ii) Non-existent production of insulin
	(iii) Insulin resistance
	(iv) Part loss of insulin production
14	What are the symptoms in a patient with a mild degree of hypoglycemia? Tick off two alternatives you consider correct.
	(i) Loss of consciousness
	(ii) Hunger
	(iii) Diplopia
	(iv) Shivering
15	How do you handle an unconscious diabetic patient? Tick off one alternative.
	(i) As if the patient had hypoglycemia (give sugar)
	(ii) As if the patient had hyperglycemia (give insulin)
	(iii) Never treat the patient before you know the values of sugar in the blood
	Theme: Ileus/hypovolemia
16	Which situations can lead to hypovolemia? Tick off two alternatives you consider correct.
	(i) Cancer in the bowels
	(ii) The normal passage of intestinal content has stopped
	(iii) Paralysis of the bowels
	(iv) Feces leaks into the abdominal cavity
17	Which symptoms may be present during hypovolemia? Tick off two alternatives you consider correct.
	(i) Extended abdomen or dry mucous membranes
	(ii) Standing skin folds
	(iii) Abundant light-colored urine
	(iv) High blood pressure
18	Which two actions are the most important when one suspects that a patient has ileus?
	(i) Administer pain medication
	(ii) Administer a laxative
	(iii) Aspiration of ventricular content
	(iv) Careful stimulation of the bowels with soup