Lembaran kerja Kejururawatan klinikal dengan jawapan
Lembaran kerja Kejururawatan klinikal percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
A135–145 mmol/L
B95–105 mmol/L
C3.5–5.0 mmol/L
D2.2–2.6 mmol/L
2.Mudah
A patient's care plan says "nil by mouth". What does this mean?
AFood is allowed, but drinks must be stopped until the next day
BOnly clear fluids such as water and black tea are allowed
CThe patient may eat if they feel hungry
DNo food or drink by mouth unless specific exceptions are prescribed
3.Mudah
Tanda manakah yang tipikal bagi kegagalan jantung sebelah kiri?
APengeluaran air kencing bertambah
BKulit dan putih mata menguning
CSesak nafas, terutamanya apabila berbaring mendatar
DSakit di perut bawah kanan
4.Sederhana
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
ASimple face mask at 5 L/min with the patient sitting up
BVenturi mask set to 24%
CNon-rebreathe mask with reservoir bag at 15 L/min
DNasal cannula at 2 L/min
5.Sederhana
Which side effect of regular opioids usually needs preventive treatment from the start?
ADiarrhoea
BHigh blood pressure
CConstipation
DExcessive hunger
6.Sederhana
Which oxygen device delivers a precise, fixed concentration of oxygen?
ANon-rebreathe mask
BSimple face mask
CNasal cannula
DVenturi mask
7.Sukar
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
AKidney failure makes the stomach absorb more morphine
BKidney disease makes the opioid receptors disappear
CThe kidneys normally activate morphine, so more of it becomes active
DIts active metabolites build up because the kidneys excrete them
8.Sukar
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
AIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
BPost-renal acute kidney injury from obstruction, treated with a catheter
CPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
DChronic kidney disease, treated with long-term dialysis three times a week
Kunci jawapan
1. A · 135–145 mmol/L
2. D · No food or drink by mouth unless specific exceptions are prescribed
3. C · Sesak nafas, terutamanya apabila berbaring mendatar
4. C · Non-rebreathe mask with reservoir bag at 15 L/min
5. C · Constipation
6. D · Venturi mask
7. D · Its active metabolites build up because the kidneys excrete them
8. C · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
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