1.やさしい
Which group of features defines nephrotic syndrome?
- ASevere loin pain that spreads to the groin
- BPainful urination, fever and frequency
- CHeavy proteinuria, low albumin and oedema
- DBlood in the urine, high BP and low urine output
2.やさしい
After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?
- AAn injury to the outer ear only
- BA fracture of the base of the skull
- CA simple scalp laceration
- DA fractured jaw
3.やさしい
Which side effect of metformin is most common?
- AWeight gain and oedema
- BNausea and diarrhoea
- CGum overgrowth and a rash
- DA dry cough at night
4.ふつう
How does bladder training help urge incontinence?
- AA catheter is used every night
- BThe time between voids is slowly increased
- CThe patient drinks as little as possible
- DThe patient goes to the toilet every 15 minutes
5.ふつう
A patient has just started levetiracetam. Which side effect should the nurse teach them to report?
- AOrange discoloration of the urine
- BA persistent dry cough at night
- CSwelling and overgrowth of the gums around the teeth
- DChanges in mood, such as irritability, low mood or anger
6.ふつう
A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?
- AEncourage a high-salt diet to balance the fluids
- BGive large amounts of IV fluid
- CMonitor BP, fluid balance and daily weight
- DCheck the weight once a week
7.むずかしい
A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?
- AParacetamol (acetaminophen)
- BHaloperidol
- CMelatonin
- DLactulose
8.むずかしい
The nurse has four urology patients. Which one needs to be seen first?
- AA patient with stress incontinence asking about pelvic floor exercises
- BA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
- CA patient after TURP with light pink drainage and mild discomfort
- DA patient with a suprapubic catheter due for a routine change
解答
- 1. C · Heavy proteinuria, low albumin and oedema
- 2. B · A fracture of the base of the skull
- 3. B · Nausea and diarrhoea
- 4. B · The time between voids is slowly increased
- 5. D · Changes in mood, such as irritability, low mood or anger
- 6. C · Monitor BP, fluid balance and daily weight
- 7. B · Haloperidol
- 8. B · A patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
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