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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the normal baseline fetal heart rate?
A110–160/min
B40–60/min
C60–100/min
D160–220/min
2.Makkelijk
Which white blood cell count suggests an infection or inflammation?
A18,000/mm³ (18 × 10⁹/L)
B8,200/mm³ (8,2 × 10⁹/L)
C7,000/mm³ (7 × 10⁹/L)
D6,500/mm³ (6,5 × 10⁹/L)
3.Makkelijk
Which symptoms are classic signs of digoxin toxicity?
AHair loss and weight gain
BNausea, poor appetite and yellow-green visual halos
CHigh blood sugar and increased thirst
DA rash, high fever and swollen lymph nodes in the neck
4.Gemiddeld
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
AHelp the patient carry shopping bags on the left arm
BMeasure blood pressure on the left arm only, every 4 hours
CDo not measure blood pressure on the left arm
DKeep the left arm wrapped tightly in a bandage at night
5.Gemiddeld
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
AMeet both of them privately to hear each side
BChange both of their assignments without any discussion
CReport them to human resources at once
DIgnore it and hope they sort it out
6.Gemiddeld
A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?
AFlush the cannula hard to clear the blockage
BApply a tight bandage over the site to reduce swelling
CIncrease the infusion rate to overcome the resistance
DStop the infusion and remove the cannula
7.Moeilijk
A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?
ADisseminated intravascular coagulation (DIC)
BNormal bruising from blood tests
CVitamin C deficiency
DAn allergic reaction to the adhesive tape
8.Moeilijk
A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?
AUrine output at least 0,5 mL/kg/h and clearer thinking
BNew crackles at both lung bases
CA heart rate that keeps rising after each bag of fluid
DCooler, paler skin on the arms and legs
Antwoordenblad
1. A · 110–160/min
2. A · 18,000/mm³ (18 × 10⁹/L)
3. B · Nausea, poor appetite and yellow-green visual halos
4. C · Do not measure blood pressure on the left arm
5. A · Meet both of them privately to hear each side
6. D · Stop the infusion and remove the cannula
7. A · Disseminated intravascular coagulation (DIC)
8. A · Urine output at least 0,5 mL/kg/h and clearer thinking
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