Werkblad Basisverpleegkunde met antwoorden

What is a haematoma?

1. AA collection of clear fluid in a blister
2. BA collection of blood in the tissues
3. CA thickened area of scar tissue
4. DA collection of pus under the skin

What does serous wound exudate look like?

1. APink and frothy
2. BClear and watery, sometimes pale yellow
3. CBright red and fresh, like blood from a cut
4. DThick, green or yellow and foul-smelling

Which of these is subjective data?

1. AThe patient vomited 150 mL
2. BThe patient says she feels sick
3. CThe patient's skin is pale and moist
4. DThe patient's temperature is 37,9 °C

How should a nurse help a patient with severe visual impairment on admission?

1. AGuide the patient by pushing them gently from behind as they walk
2. BSpeak more loudly than usual
3. CMove the patient's belongings around to keep the area tidy
4. DIntroduce themselves, describe the room and keep items in place

A small blood spill is found on the ward floor. What is the correct approach?

1. AWear gloves and an apron and clean it with an approved disinfectant per policy
2. BWipe it up with a paper towel without gloves, then wash your hands well afterwards
3. CCover it with a sheet so no one steps in it
4. DLeave it for the domestic staff to clean at the end of the day

A patient's blood pressure is much higher than in all previous readings. What is the best first step?

1. ARecord it and give an extra dose of the blood pressure tablet
2. BTell the patient they are having a stroke
3. CRecheck it, making sure the technique and cuff size are correct
4. DIgnore it, as it must be a machine error

A patient has been taught breathing exercises before surgery. Which statement shows a need for further teaching?

1. A"I'll ask for pain relief if pain stops me breathing deeply."
2. B"I'll take some slow deep breaths every hour."
3. C"I'll avoid coughing so I don't hurt my stitches."
4. D"I'll hold a pillow over the wound when I cough."

A potassium result is unexpectedly high and the lab reports that the sample was haemolysed. What does this mean?

1. AThe result may be falsely high and the test should be repeated
2. BThe patient definitely has dangerous hyperkalaemia needing treatment
3. CThe patient definitely has low potassium
4. DThe result is accurate and needs no follow-up