1.ง่าย
The term "epistaxis" means:
- ABlood in the urine
- BBleeding gums
- CCoughing up blood
- DA nosebleed
2.ง่าย
Why is a platelet transfusion given?
- ATo raise the haemoglobin level in a patient with anaemia
- BTo provide extra protein
- CTo treat a high white cell count in a patient with infection or leukaemia
- DTo prevent or treat bleeding in a patient with low or poorly working platelets
3.ง่าย
Leukaemia is a cancer of:
- AThe thyroid gland
- BThe blood-forming cells of the bone marrow
- CThe lining of the stomach and small bowel
- DThe skin
4.ปานกลาง
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ASitting upright with the legs dangling
- BLying flat, with the legs raised
- CStanding up and walking around
- DLying face down
5.ปานกลาง
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs an allergy to all painkillers
- BAs a severe anaphylactic allergy to all opioids
- CAs a side effect or intolerance, not a true allergy
- DIt should not be recorded at all
6.ปานกลาง
What should the nurse regularly check for a patient with a syringe driver?
- AOnly that the battery is charged and the device is switched on
- BOnly the patient's weight, measured once a week on the same scales
- CNothing, once the syringe driver is running
- DThe infusion site, the rate and volume remaining, and the patient's symptoms
7.ยาก
How should pain be assessed in a patient with advanced dementia who cannot describe it?
- AWith an observational pain tool that scores facial expression, behaviour and body language
- BBy assuming the patient has no pain unless they are crying out or calling for help
- CBy asking the patient to rate their pain on a numerical scale from 0 to 10
- DBy checking the blood pressure only
8.ยาก
Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?
- AA rise in heart rate
- BA fall in blood pressure
- CCool peripheries
- DA slightly raised respiratory rate
เฉลย
- 1. D · A nosebleed
- 2. D · To prevent or treat bleeding in a patient with low or poorly working platelets
- 3. B · The blood-forming cells of the bone marrow
- 4. B · Lying flat, with the legs raised
- 5. C · As a side effect or intolerance, not a true allergy
- 6. D · The infusion site, the rate and volume remaining, and the patient's symptoms
- 7. A · With an observational pain tool that scores facial expression, behaviour and body language
- 8. B · A fall in blood pressure
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com