Робочий аркуш «Клінічна сестринська справа» з відповідями

What is a blood culture used to detect?

1. AThe level of glucose in the blood
2. BThe patient's blood group
3. CThe number of red cells
4. DBacteria or fungi in the bloodstream

After a stroke, a patient has "aphasia". What does this mean?

1. ADifficulty swallowing food, drink and saliva
2. BLoss of vision in one eye
3. CWeakness of one side of the body
4. DDifficulty understanding or producing language

When removing personal protective equipment after patient care, which item is usually removed first?

1. AHair cover
2. BGloves
3. CFace mask
4. DEye protection

A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?

1. AUse a soft toothbrush and an electric razor
2. BTake temperatures rectally
3. CEncourage contact sports to keep fit
4. DGive medicines by intramuscular injection

Why are people with diabetes advised to have regular eye screening?

1. ATo check whether they need reading glasses for close work
2. BTo prevent conjunctivitis
3. CTo measure their blood glucose through the eye
4. DTo detect diabetic retinopathy early, before sight is lost

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

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

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AThe kidneys normally activate morphine, so more of it becomes active
2. BKidney failure makes the stomach absorb more morphine
3. CKidney disease makes the opioid receptors disappear
4. DIts active metabolites build up because the kidneys excrete them

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers make the patient sleep through the night
2. BBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
3. CBeta-blockers stop the liver from responding to insulin
4. DBeta-blockers can mask warning signs such as tremor and a fast heart rate