Робочий аркуш «Клінічна сестринська справа» з відповідями

Which of these is a modifiable risk factor for coronary heart disease?

1. AAge
2. BMale sex
3. CSmoking
4. DFamily history

What is a normal capillary refill time in an adult?

1. A2 seconds or less
2. B8–10 seconds
3. C5–6 seconds
4. DMore than 15 seconds

Gout is caused by:

1. AWear and tear of the joint cartilage
2. BA lack of calcium in the diet
3. CUric acid crystals forming in a joint
4. DA bacterial infection of the bone

Which is the correct technique for using a metered-dose inhaler without a spacer?

1. APress the canister twice quickly, then breathe in fast and breathe straight out again
2. BPress the canister and wait one minute before breathing in
3. CBreathe in quickly through the nose while pressing the canister
4. DBreathe out, then breathe in slowly and deeply while pressing the canister, then hold

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AStop the infusion straight away and follow the extravasation protocol
2. BFlush the cannula hard with saline
3. CIncrease the rate so that the infusion finishes as quickly as possible
4. DApply a warm pack and continue the infusion

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe patient needs urgent surgery on the brain
2. BThe risk of a full stroke is highest in the days after a TIA
3. CThe symptoms will come back permanently within an hour
4. DA TIA always turns into a brain tumour unless it is treated

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will weigh myself each morning after passing urine."
2. B"I will take my water tablet in the morning."
3. C"I will report it if I need more pillows to sleep."
4. D"I only need to weigh myself once a month."

Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?

1. AAntihistamines cause dangerous drowsiness for 24 hours
2. BAdrenaline always causes a heart attack hours later
3. CThe patient must stay until all allergy tests are complete
4. DSymptoms can return later in a biphasic reaction