1.ง่าย
What is a PEG tube?
- AA tube placed through the skin into the bladder to drain urine
- BA feeding tube placed through the abdominal wall into the stomach
- CA tube passed through the nose and down into the stomach
- DA tube placed in the chest to drain air
2.ง่าย
The term "oliguria" means:
- AA low urine output
- BPainful urination
- CBlood in the urine
- DPassing urine at night
3.ง่าย
A pleural effusion is:
- AAn infection of the bronchi
- BAir in the pleural space after an injury
- CA collection of fluid in the pleural space
- DA blood clot in the lung
4.ปานกลาง
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo strengthen the abdominal muscles around the wound
- BTo encourage deep breaths that prevent atelectasis and chest infection
- CTo lower their heart rate before mobilising
- DTo measure their lung function so the result can go in the discharge letter
5.ปานกลาง
A very anxious patient breathes rapidly for a long period. Which change is expected?
- ARespiratory acidosis from a high PaCO2
- BMetabolic alkalosis from vomiting
- CMetabolic acidosis from a low bicarbonate
- DRespiratory alkalosis from a low PaCO2
6.ปานกลาง
After removing a peripheral IV cannula, what should the nurse check?
- AThat the site is left uncovered and bleeding freely
- BThat the patient's blood glucose is normal before removal
- CThat the cannula is put back in its sterile packet for the next patient
- DThat the cannula is intact, and apply pressure until bleeding stops
7.ยาก
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AGive sips of oral fluid to clear the throat and wake them
- BLie the patient face down
- CWait for the patient to wake up fully
- DOpen the airway with a head tilt–chin lift or jaw thrust
8.ยาก
A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?
- AThe family may make the decision instead if they disagree with the patient's choice
- BThe patient must be assessed by a psychiatrist before refusing
- CA person is not treated as lacking capacity just because they make an unwise decision
- DThe team may override any decision that it disagrees with if it is serious
เฉลย
- 1. B · A feeding tube placed through the abdominal wall into the stomach
- 2. A · A low urine output
- 3. C · A collection of fluid in the pleural space
- 4. B · To encourage deep breaths that prevent atelectasis and chest infection
- 5. D · Respiratory alkalosis from a low PaCO2
- 6. D · That the cannula is intact, and apply pressure until bleeding stops
- 7. D · Open the airway with a head tilt–chin lift or jaw thrust
- 8. C · A person is not treated as lacking capacity just because they make an unwise decision
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