Lembar kerja Keperawatan klinis dengan jawaban

Why should insulin injection sites be rotated?

1. ATo stop the insulin from freezing under the skin
2. BBecause insulin causes the skin to bleed if one site is used often
3. CTo make the insulin work more slowly and evenly every time
4. DTo prevent lumpy fatty areas that make absorption unpredictable

What are the two most common causes of peptic ulcers?

1. AViral infection of the stomach and dehydration
2. BHelicobacter pylori infection and NSAID use
3. CSpicy food and emotional stress on their own
4. DLow fibre intake and lack of exercise

Glaucoma is an eye condition in which:

1. ARaised pressure in the eye damages the optic nerve
2. BThe eyelids turn inwards and the lashes rub the eye
3. CThe tear glands stop working
4. DThe lens becomes cloudy and vision is blurred

Which finding with a groin hernia needs urgent surgical review?

1. AThe lump has been present for several years without pain
2. BThe lump has become painful and tender and cannot be pushed back
3. CThe lump gets bigger when the patient coughs
4. DThe lump disappears completely when the patient lies down flat

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AAnywhere on the chest where the skin is clear
2. BIn a straight line down the centre of the sternum from top to bottom
3. COn both shoulders and both hips only
4. DIn standard numbered positions across the front and left of the chest

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. ABed rails are illegal in all hospitals and must never be used at all
2. BBed rails always make patients more confused, but only during the day
3. CBed rails stop staff from taking observations
4. DPatients can be seriously injured climbing over or becoming trapped in rails

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

1. AToxic megacolon
2. BRecovery from the colitis
3. CCoeliac disease
4. DConstipation from dehydration

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. ASulfonylureas only work at night
2. BSulfonylureas act for a long time, so hypoglycaemia can recur
3. CThe drug makes glucose tablets and drinks ineffective
4. DThe drug causes rebound hyperglycaemia later the same day