Робочий аркуш «Медсестринство в терапії та хірургії: нервова, ендокринна та сечовидільна системи» з відповідями

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

1. AFacial nerve (VII)
2. BAccessory nerve (XI)
3. CTrigeminal nerve (V)
4. DHypoglossal nerve (XII)

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BAn allergic reaction to soap
3. CHeat rash from a high temperature
4. DA simple viral skin rash

What is automated peritoneal dialysis?

1. ADialysis that needs no fluid at all
2. BDialysis in hospital through an arm fistula
3. CExchanges done overnight by a machine
4. DA single exchange done once a week

How do DPP-4 inhibitors such as sitagliptin work?

1. AThey prolong the action of gut incretin hormones
2. BThey replace insulin that the pancreas cannot make
3. CThey block glucose reabsorption in the kidney
4. DThey stop the gut from absorbing fat

Why does a patient with untreated hypothyroidism need extra care when given opioids or sedatives?

1. AThey break the drugs down slowly and are more sensitive to them
2. BThese drugs make the thyroid gland overactive
3. CThere is no difference compared with other patients
4. DThey clear the drugs too fast, so higher doses are needed

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AIgnore it, because haemolysis always gives a normal result
2. BStart dialysis as soon as possible
3. CInform the doctor and arrange an urgent repeat sample
4. DGive oral potassium supplements straight away

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AOral amoxicillin
2. BIV insulin
3. COral prednisolone
4. DIV aciclovir

A prescription reads "Insulin 10U". Why is this a safety problem?

1. A"U" means the insulin must be given intravenously
2. BInsulin doses must always be written in millilitres
3. C"U" can be misread as a zero, giving a tenfold dose
4. DThere is no problem as long as the nurse can read it