1.Пріоритезація та делегуванняСередня
An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?
- AFecal impaction with liquid stool passing around it
- BA new bowel infection that has caused the diarrhea
- CThe constipation has fully resolved
- DA side effect of drinking too much water
2.Пріоритезація та делегуванняСкладна
A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?
- AAlcohol withdrawal
- BNormal pain after a fracture
- CFat embolism syndrome
- DAn allergic reaction to the cast
3.Інфекційний контроль і безпека пацієнтівСередня
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be used straight away if it looks new
- BIt is checked for electrical safety according to hospital policy before use
- CIt can be plugged into an extension lead under the bed
- DIt can be used in the bathroom near the sink if the patient is careful
4.Інфекційний контроль і безпека пацієнтівСкладна
A nurse asks a colleague to “just glance” at an insulin infusion before starting it. What makes a check truly independent?
- AThe first nurse reads the details aloud and the second agrees
- BThe second nurse looks at the bag label from the doorway
- CThe second nurse checks the order, drug, dose and pump settings separately without being told the answer
- DThe second nurse signs the record after the infusion has already been started by the first
5.Лабораторні показники та електролітиСередня
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AGlucose in the urine
- BNitrites in the urine
- CKetones in the urine
- DProtein in the urine
6.Лабораторні показники та електролітиСкладна
A patient on warfarin with an INR of 3,6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?
- AHold warfarin for one dose and observe at home
- BGive acetaminophen (paracetamol) and recheck the INR tomorrow
- CEncourage rest in a dark room to settle the pain
- DReport urgently for imaging and possible reversal
7.Клінічна сестринська справаСередня
A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?
- AAn air leak, from the lung or from the drainage system
- BThe lung has fully re-expanded
- CThe drain is blocked
- DThe drain is working normally for a fluid collection only
8.Клінічна сестринська справаСкладна
The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?
- AThe tube may be kinked or blocked, or the lung may have fully re-expanded
- BThe patient's breathing has become normal and the drain can be pulled out by the nurse
- CThe water seal has been set up correctly for the first time
- DThe drain is working perfectly and needs no checks
9.Медсестринство в терапії та хірургії: серцево-судинна та дихальна системиСередня
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ARaised blood glucose
- BLow blood pressure
- CLow blood sodium
- DSlow heart rate
10.Медсестринство в терапії та хірургії: серцево-судинна та дихальна системиСкладна
A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?
- AIt improves digestion and gut motility; the main risk is constipation
- BIt improves oxygenation; risks are pressure injury and tube displacement
- CIt treats infection; the risk is fever
- DIt lowers the blood pressure; the main risk is rebound hypertension
11.Медсестринство в терапії та хірургії: нервова, ендокринна та сечовидільна системиСередня
Several hours after a carotid endarterectomy, which finding needs the most urgent action?
- AA blood pressure slightly above the baseline
- BAn expanding neck swelling with noisy breathing
- CMild pain at the incision site
- DA small amount of dried blood on the dressing
12.Медсестринство в терапії та хірургії: нервова, ендокринна та сечовидільна системиСкладна
Літній пацієнт із діабетом 2 типу має глюкозу 48 mmol/L, осмолярність 365 mOsm/kg, без значущих кетонів і зі сплутаністю. Що в першому пріоритеті?
- AОбережні внутрішньовенні рідини з ретельним контролем осмолярності, натрію та глюкози
- BВеликий внутрішньовенний болюс інсуліну, щоб нормалізувати глюкозу протягом години
- CСуворе обмеження рідини, щоб уникнути набряку мозку
- DПероральна глюкоза для запобігання гіпоглікемії під час лікування
13.Медсестринство в терапії та хірургії: ШКТ, періопераційний період та онкологіяСередня
Why are urinary catheters removed as early as possible after surgery?
- ABecause patients cannot drink normally while a catheter is in place
- BBecause catheters always cause kidney stones
- CBecause the catheter stops the bowel working
- DTo reduce the risk of catheter-associated infection
14.Медсестринство в терапії та хірургії: ШКТ, періопераційний період та онкологіяСкладна
A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?
- AFluid levels in the bladder on an ultrasound scan
- BFree air under the diaphragm on an erect chest X-ray
- CTall, peaked T waves on a 12-lead ECG
- DA raised serum lipase three times the upper limit