Lembaran kerja Kejururawatan klinikal dengan jawapan

Skala Koma Glasgow (GCS) menilai:

1. ASaiz dan tindak balas anak mata, tekanan darah dan nadi
2. BPembukaan mata, tindak balas lisan dan tindak balas motor
3. CSakit, loya dan kebimbangan
4. DRefleks, tona otot dan deria

What is the main purpose of a surgical wound drain?

1. ATo remove blood or fluid so it does not collect in the wound
2. BTo keep the wound open permanently so that it can be cleaned
3. CTo give antibiotics directly into the wound bed
4. DTo measure the patient's temperature

What does a peak flow meter measure?

1. AThe oxygen level in the blood during a deep breath
2. BThe fastest rate at which a person can blow air out
3. CThe total amount of air the lungs can hold
4. DThe number of breaths per minute

Which is a first-line nursing measure to help prevent constipation in hospital?

1. AEncouraging fluids, fibre and mobility
2. BRestricting fluids to reduce urine output
3. CGiving an enema to every patient on admission
4. DKeeping the patient in bed

For a patient in skin traction on the leg, which is correct?

1. AThe weights are removed whenever the patient feels uncomfortable
2. BThe weights hang freely and do not rest on the bed or floor
3. CThe rope is tied to the bed frame to keep it still
4. DThe weights rest on the floor overnight

A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?

1. AStanding up and walking around
2. BLying face down
3. CLying flat, with the legs raised
4. DSitting upright with the legs dangling

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AAcute gastritis from anti-inflammatory drugs
2. BMusculoskeletal back pain
3. CRenal colic from a kidney stone
4. DA ruptured abdominal aortic aneurysm

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. AGastro-oesophageal reflux disease
2. BSimple biliary colic
3. CAscending cholangitis
4. DAcute appendicitis