Робочий аркуш «Медсестринство в терапії та хірургії: серцево-судинна та дихальна системи» з відповідями

Which sign often appears earliest in hypovolaemic shock in an adult?

1. AA slow, bounding pulse
2. BFixed, dilated pupils
3. CA rising heart rate
4. DA systolic pressure below 70 mmHg

Який аналіз крові найспецифічніший для ушкодження серцевого м'яза?

1. AЛактатдегідрогеназа
2. BКреатинкіназа (загальна)
3. CС-реактивний білок
4. DСерцевий тропонін

Where does gas exchange between air and blood take place in the lungs?

1. AIn the pleural space
2. BIn the trachea
3. CIn the alveoli
4. DIn the main bronchi

Why is aspirin chewed rather than swallowed whole in a suspected acute coronary syndrome?

1. AChewing speeds absorption, giving a faster antiplatelet effect
2. BChewing stops the aspirin from irritating the lining of the stomach
3. CChewing changes aspirin into an anticoagulant
4. DWhole aspirin tablets cannot be absorbed at all from the gut

A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?

1. AAdvise that it will be ignored until it stops
2. BExplain that burning pain in the missing foot shows wound infection
3. CTell the patient the pain must be imaginary as the foot has gone
4. DExplain that phantom limb pain is real and arrange treatment

A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?

1. AThe patient having eaten recently
2. BCold hands with poor peripheral circulation
3. CA regular heart rate of 75 beats per minute
4. DThe patient sitting upright in a chair

A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?

1. AStable angina
2. BAcute pericarditis
3. CST-elevation myocardial infarction (STEMI)
4. DNon-ST-elevation myocardial infarction

A patient taking ramipril and indapamide for hypertension starts regular ibuprofen for back pain. A week later, creatinine has risen sharply. What is the most likely cause?

1. AIbuprofen raising the blood pressure to levels that damage the kidneys
2. BAn ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
3. CBack pain causing kidney damage
4. DAn allergic reaction to the diuretic causing inflammation of the kidney