Lembaran kerja Kejururawatan klinikal dengan jawapan

A medicine given "transdermally" is given:

1. AUnder the tongue, where it dissolves
2. BInto the rectum
3. CInto a muscle
4. DThrough the skin, usually from a patch

What is the most reliable indicator of pain in a patient who can communicate?

1. AThe patient's blood pressure
2. BThe patient's heart rate
3. CThe nurse's impression of their face
4. DThe patient's own report

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. AD-dimer
2. BTroponin
3. CAmylase
4. DBilirubin

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. ADehydration and electrolyte loss from liquid output
2. BHard stools, straining and constipation from slow transit
3. CLow blood glucose after meals
4. DUrinary retention

A patient with renal colic is asked to pass urine through a strainer. Why?

1. ATo measure the urine's pH and specific gravity
2. BTo remove bacteria from the urine
3. CTo catch any stone so that it can be analysed
4. DTo make passing urine less painful

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

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

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

1. AAscending cholangitis
2. BSimple biliary colic
3. CGastro-oesophageal reflux disease
4. DAcute appendicitis

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. ANo precautions, because it is not contagious
2. BAirborne precautions with a negative-pressure room for the whole hospital stay
3. CDroplet precautions until 24 hours of effective antibiotics have been given
4. DIsolation only after the patient has gone home