1.ง่าย
What is the Bristol Stool Chart used for?
- AMeasuring how much food a patient eats each day
- BClassifying the form and consistency of stools
- CScoring the risk of pressure ulcers
- DRecording the frequency of urination
2.ง่าย
Which group of findings suggests fluid overload?
- ADry mouth, thirst, dark urine and a rapid weak pulse
- BLow jugular venous pressure and cool skin
- CSwollen ankles, breathlessness, lung crackles and weight gain
- DWeight loss, sunken eyes and a dry mouth
3.ง่าย
Rheumatoid arthritis typically affects:
- AOnly the spine
- BOnly the big toe
- COnly one large weight-bearing joint, such as the knee or hip
- DThe small joints of the hands and feet on both sides of the body
4.ปานกลาง
Which statement about storing insulin is correct?
- AUnopened insulin is kept in the fridge and must not be frozen
- BInsulin never expires once opened
- CAll insulin should be stored in the freezer to keep it fresh
- DInsulin should be kept in direct sunlight
5.ปานกลาง
A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?
- AKeep it secret because it is a family matter
- BWait until the patient has been discharged
- CRaise the concern through the local safeguarding (adult protection) procedure
- DConfront the relative directly at the bedside about it
6.ปานกลาง
Which is a recognised risk factor for postoperative nausea and vomiting?
- AA short operation under local anaesthetic
- BUse of opioids after surgery
- CBeing male
- DBeing a smoker
7.ยาก
A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?
- AThe patient has developed gastroenteritis
- BThe appendix has perforated, causing peritonitis
- CThe analgesia has started working
- DThe appendicitis has resolved without treatment
8.ยาก
The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?
- AThe drain is working perfectly and needs no checks
- BThe water seal has been set up correctly for the first time
- CThe tube may be kinked or blocked, or the lung may have fully re-expanded
- DThe patient's breathing has become normal and the drain can be pulled out by the nurse
เฉลย
- 1. B · Classifying the form and consistency of stools
- 2. C · Swollen ankles, breathlessness, lung crackles and weight gain
- 3. D · The small joints of the hands and feet on both sides of the body
- 4. A · Unopened insulin is kept in the fridge and must not be frozen
- 5. C · Raise the concern through the local safeguarding (adult protection) procedure
- 6. B · Use of opioids after surgery
- 7. B · The appendix has perforated, causing peritonitis
- 8. C · The tube may be kinked or blocked, or the lung may have fully re-expanded
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