1.Ustalanie priorytetów i delegowanieŚredni
A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?
- A“Weigh him after lunch, fully dressed, with his shoes on.”
- B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
- C“Weigh him at any time today, on whichever scale is free.”
- D“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
2.Ustalanie priorytetów i delegowanieTrudny
A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?
- AGive antibiotic eye drops first
- BCover the eye with a dry patch and wait for the provider
- CFlush the eye with plenty of water or saline straight away
- DRub the eye gently with a clean tissue to remove the chemical
3.Kontrola zakażeń i bezpieczeństwo pacjentaŚredni
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AWait to see whether any symptoms develop over the next day
- BGive syrup of ipecac from the medicine cabinet
- CContact the local poison advice service now for specific advice
- DMake the child vomit, using a finger at the back of the throat
4.Kontrola zakażeń i bezpieczeństwo pacjentaTrudny
A patient’s allergy band says “penicillin”, and an order has been written for amoxicillin. What should the nurse do?
- AHold the drug and contact the prescriber
- BGive an antihistamine first and then the drug
- CAsk the patient whether they would like to take it anyway
- DGive the drug and watch the patient closely
5.Wartości laboratoryjne i elektrolityŚredni
A patient scheduled for surgery this morning has a potassium of 3,0 mEq/L on pre-operative tests. What should the nurse do?
- ARepeat the test after the surgery is finished
- BGive an oral potassium dose without a prescription
- CReport it to the surgical team before surgery
- DSend the patient to surgery without comment
6.Wartości laboratoryjne i elektrolityTrudny
A patient taking isoniazid for latent TB reports nausea, loss of appetite and dark urine. The ALT is five times the upper limit of normal. What is the best action?
- ADouble the dose to finish the treatment course more quickly
- BHold the isoniazid and report the findings to the prescriber at once
- CContinue the isoniazid and give it with food to settle the stomach
- DReassure the patient that dark urine is a harmless drug effect
7.Pielęgniarstwo kliniczneŚredni
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- AA stool sample for occult blood
- BA 24-hour urine collection
- CA fasting cholesterol level
- DBlood cultures
8.Pielęgniarstwo kliniczneTrudny
Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?
- ATeaching a patient to inject insulin for the first time
- BGiving a dose of intravenous antibiotic
- CAssessing a patient who has just reported new chest pain
- DMeasuring and recording vital signs on a stable patient
9.Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowyŚredni
Rheumatic heart disease most often follows which infection?
- AStaphylococcal infection of the skin
- BA viral infection of the upper airway
- CA fungal infection of the lungs
- DA group A streptococcal throat infection
10.Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowyTrudny
A patient with asthma needs their reliever every three hours and their peak flow is falling well below their personal best. What does their action plan most likely advise?
- AFollow the worsening-asthma steps and get a same-day review
- BWait two weeks to see whether it improves without any change
- CDo extra exercise to open the airways
- DStop the preventer inhaler for a few days to rest the lungs
11.Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerkiŚredni
Po urazie głowy z nosa pacjenta kapie przejrzysty płyn. Jakie jest główne zagrożenie?
- AReakcja alergiczna na środek kontrastowy do TK
- BZwykłe przeziębienie lub napad kataru siennego
- CPrawidłowa wydzielina po płaczu
- DWyciek płynu mózgowo-rdzeniowego z powodu złamania czaszki
12.Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerkiTrudny
A patient with a known ureteric stone develops a fever of 39 °C (102,2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?
- AStrong pain relief alone, then discharge
- BA fluid restriction to reduce the swelling
- COral antibiotics and waiting for the stone to pass
- DUrgent drainage of the kidney plus IV antibiotics
13.Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologiaŚredni
How can low-dose opioids help a patient with breathlessness from advanced cancer?
- AThey reduce the feeling of breathlessness
- BThey cure the underlying lung disease
- CThey open the airways like an inhaler
- DThey increase the oxygen level in the blood
14.Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologiaTrudny
A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?
- APush the hernia firmly back in, then discharge home
- BKeep them nil by mouth and arrange urgent surgical review
- CApply a hot water bottle and give a laxative
- DAdvise the patient to wear a tight truss and rest