解答つき臨床看護学ワークシート

A wheeze heard on chest auscultation is caused by:

1. AAir flowing through narrowed airways
2. BFluid in the alveoli
3. CThe pleural layers rubbing together
4. DFluid collecting in the pleural space

In palliative care, a syringe driver is used to:

1. AGive a single fast intravenous injection when symptoms flare up suddenly
2. BGive a continuous subcutaneous infusion of medicines, often over 24 hours
3. CMeasure blood glucose continuously
4. DDrain fluid from the lungs

Which of these is one of the "rights" of safe medication administration?

1. ARight brand of packaging
2. BRight bed number
3. CRight route
4. DRight nurse on duty

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

1. AAbout 24 hours later
2. BAfter the third unit only
3. CIn the first 15 minutes
4. DOnly after the unit has finished

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe patient needs urgent surgery on the brain
2. BThe symptoms will come back permanently within an hour
3. CA TIA always turns into a brain tumour unless it is treated
4. DThe risk of a full stroke is highest in the days after a TIA

Which technique is correct when suctioning through a tracheostomy?

1. AApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
2. BKeep suctioning for at least a minute each time to clear all the secretions
3. CApply suction continuously while inserting the catheter as far as it will go
4. DSuction every 15 minutes whether or not secretions are present

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe appendicitis has resolved without treatment
2. BThe patient has developed gastroenteritis
3. CThe analgesia has started working
4. DThe appendix has perforated, causing peritonitis

Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?

1. ATumour lysis syndrome
2. BSyndrome of inappropriate ADH secretion
3. CRefeeding syndrome
4. DAdrenal insufficiency