1.Prioritetų nustatymas ir delegavimasVidutinis
Which telephone call should a clinic nurse return first?
- AA parent of a 5-year-old with a runny nose for two days
- BAn adult asking for a repeat prescription for a statin
- CAn adult who wants to move a routine blood test appointment
- DA parent of a 6-week-old with a temperature of 38,3 °C
2.Prioritetų nustatymas ir delegavimasSunkus
A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?
- ARespiratory muscle fatigue with possible impending respiratory failure
- BThe patient is hyperventilating even more than before and needs calming
- CThe asthma is improving, because the PaCO₂ is now near normal
- DA laboratory error that should be ignored
3.Infekcijų kontrolė ir pacientų saugaVidutinis
Which toy is safest for a toddler?
- AA bag of marbles to sort by color
- BA large toy with no small parts that can come off
- CA balloon to play with when an adult is out of the room
- DA toy with small magnets that come out easily
4.Infekcijų kontrolė ir pacientų saugaSunkus
A patient on chemotherapy develops shingles over several areas on both sides of the body. Which precautions are needed?
- AAirborne and contact precautions until all lesions are crusted
- BStandard precautions only, with the lesions covered
- CDroplet precautions until the pain settles
- DContact precautions only, with gloves for dressing changes
5.Laboratorinės reikšmės ir elektrolitaiVidutinis
A woman with hyperemesis gravidarum has vomited for 3 days. Which urine finding would the nurse expect?
- ANitrites
- BRed cell casts
- CBilirubin
- DKetones
6.Laboratorinės reikšmės ir elektrolitaiSunkus
A patient has fever, chills, flank pain and costovertebral angle tenderness. Urinalysis shows many white cells and white cell casts. Which condition is most likely?
- AAcute pyelonephritis
- BNephrotic syndrome
- CSimple cystitis
- DGlomerulonephritis
7.Klinikinė slaugaVidutinis
During a red cell transfusion, when are serious acute reactions most likely to start?
- AIn the first 15 minutes
- BAbout 24 hours later
- COnly after the unit has finished
- DAfter the third unit only
8.Klinikinė slaugaSunkus
A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?
- AThyroid storm
- BAddisonian crisis
- CMyxoedema coma
- DHypoglycaemia
9.Vidaus ligų ir chirurginė slauga: širdies ir kraujagyslių bei kvėpavimo sistemosVidutinis
Pacientui dėl GVT pradedamas skirti varfarinas. Kodėl pirmąsias kelias dienas kartu skiriamas ir heparinas ar MMH?
- AAbu vaistai visada turi būti tęsiami kartu visą gyvenimą
- BHeparinas saugo nuo kraujavimo dėl varfarino
- CHeparinas pagerina varfarino įsisavinimą
- DVarfarinui reikia kelių dienų, kad pasiektų visą poveikį
10.Vidaus ligų ir chirurginė slauga: širdies ir kraujagyslių bei kvėpavimo sistemosSunkus
During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?
- AAsk the patient to cough harder to help the flow
- BLie the patient flat until the drainage is complete
- CSpeed up the drainage to finish quickly
- DStop or clamp the drainage and inform the doctor
11.Vidaus ligų ir chirurginė slauga: nervų, endokrininė ir inkstų sistemosVidutinis
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
- AHot baths cause new areas of damage in the brain
- BHeat can briefly worsen MS symptoms, which settle when they cool down
- CThis shows that the disease has entered a new progressive stage
- DThey should take very cold baths to reverse the damage
12.Vidaus ligų ir chirurginė slauga: nervų, endokrininė ir inkstų sistemosSunkus
A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?
- A"I will boil my potatoes and throw away the water."
- B"I will check food labels for added salt when I go shopping."
- C"I will use a salt substitute instead of ordinary salt."
- D"I will keep bananas and dried fruit to a minimum."
13.Vidaus ligų ir chirurginė slauga: virškinimo trakto, perioperacinė ir onkologinėVidutinis
Which group of findings suggests obstruction of the bile duct?
- ANormal skin colour with diarrhoea and fever
- BRed urine, black stools and a high blood glucose
- CJaundice, dark urine, pale stools and itching
- DPale urine, dark stools and a flapping tremor
14.Vidaus ligų ir chirurginė slauga: virškinimo trakto, perioperacinė ir onkologinėSunkus
A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?
- AFree air under the diaphragm on an erect chest X-ray
- BTall, peaked T waves on a 12-lead ECG
- CA raised serum lipase three times the upper limit
- DFluid levels in the bladder on an ultrasound scan