Робочий аркуш «Клінічна сестринська справа» з відповідями

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AImpossible to obtain
2. BAccurate
3. CFalsely low
4. DFalsely high

How should nursing records be written?

1. AIn pencil so that mistakes can be rubbed out
2. BAt the end of the week, written from memory in one go to save time
3. CUsing personal abbreviations that only the nurse who wrote them understands
4. DAccurately and as soon as possible after the event, with date, time and signature

Which vaccine is offered every year to healthcare workers to protect patients and staff?

1. ARabies vaccine
2. BYellow fever vaccine
3. CInfluenza vaccine
4. DTyphoid vaccine

A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?

1. ALying on their side with the knees bent
2. BSemi-reclined at about 20 degrees, with the head supported on pillows
3. CLying flat on their back with the head turned to one side
4. DSitting fully upright, and staying upright for a time after eating

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A150 × 10⁹/L
2. B0,5 × 10⁹/L
3. C5 × 10⁹/L
4. D15 × 10⁹/L

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ASit down before using it, as it can cause dizziness and low blood pressure
2. BSwallow the spray rather than leaving it under the tongue
3. CUse it only after the pain has lasted over an hour, with the patient lying flat
4. DTake it with a large glass of milk to protect the stomach lining

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AThe normal expected effect of the local anaesthetic
2. BMuscle strain from lying in the same position in bed for many hours
3. CAn epidural haematoma or abscess compressing the spinal cord
4. DMild hypokalaemia

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
2. BA stable rhythm that can safely be reviewed at the next routine ward round
3. CAnxiety about the new diagnosis that will settle with reassurance and rest alone
4. DA normal response to atrial fibrillation needing no action