उत्तरों सहित नैदानिक नर्सिंग वर्कशीट

The term "hypernatraemia" means:

1. AA high blood glucose level
2. BA low serum sodium level
3. CA high serum potassium level
4. DA high serum sodium level

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left shoulder and moves to the back
2. BIt starts in the right upper abdomen and moves up to the centre of the chest
3. CIt starts in the left lower abdomen and stays there
4. DIt starts around the umbilicus and moves to the right lower abdomen

What is the usual normal platelet count in adults?

1. A1,000–2,000 × 10⁹/L (1–2 million/mm³)
2. B150–400 × 10⁹/L (150,000–400,000/mm³)
3. C4–11 × 10⁹/L (4,000–11,000/mm³)
4. D1–2 × 10⁹/L (1,000–2,000/mm³)

Modern wound care generally aims to keep a healing wound bed:

1. AMoist but not wet
2. BTightly packed with dry gauze
3. CCompletely dry and open to the air
4. DSoaked in antiseptic solution every day

Which advice should be given to a patient with a new permanent pacemaker?

1. ANever raise the arm on that side again
2. BAvoid using all household electrical appliances such as kettles
3. CTell staff about the pacemaker before any MRI scan or procedure
4. DStop all heart medicines straight away

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AAfter the third unit only
2. BOnly after the unit has finished
3. CAbout 24 hours later
4. DIn the first 15 minutes

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AAn allergic reaction to the dressing
2. BNecrotising fasciitis
3. CSimple cellulitis that will settle with oral antibiotics
4. DA superficial bruise

Why can pulse oximetry be misleading in carbon monoxide poisoning?

1. ACarbon monoxide only affects the heart rate reading
2. BThe oximeter overheats in smoke-exposed patients
3. CStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
4. DCarbon monoxide makes the oximeter read zero even in a well patient