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Ім’я: ____________________ Дата: ____________
1.Легка
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
AInnate immunity
BHerd immunity
CPassive immunity
DActive immunity
2.Легка
Mannitol is an osmotic diuretic used mainly to:
AReduce raised intracranial pressure
BTreat high blood pressure long term
CPrevent blood clots
DRaise serum potassium
3.Легка
Why is HIV treated with a combination of antiretroviral drugs?
ABecause each single drug cures only part of the infection
BTo make the treatment shorter, usually a few weeks
CTo suppress the virus and prevent drug resistance
DBecause one drug alone causes no side effects
4.Середня
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BExplore the reason, respect the decision, document and inform the prescriber
CLeave the tablet on the bedside table for later
DHide the tablet in the patient's food
5.Середня
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive half the dose and document the pulse
BGive the dose and recheck the pulse in one hour
CWithhold the dose and notify the prescriber
DGive the dose with food to slow absorption
6.Середня
Який побічний ефект типовий для метоклопраміду, особливо в молодих людей?
A patient with an epidural infusion of local anaesthetic becomes hypotensive. What is the most likely mechanism?
AThe epidural catheter has caused heavy bleeding
BThe drug increases urine output and causes dehydration
CThe local anaesthetic causes a severe allergic reaction
DBlockade of sympathetic nerves causes vasodilation
8.Складна
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
AWarfarin skin necrosis; switch from heparin to warfarin at once
BHeparin-induced thrombocytopenia; stop all heparin
CVitamin K deficiency; give vitamin K and continue heparin
DNormal dilution of platelets; continue and recheck in a week
Ключ відповідей
1. C · Passive immunity
2. A · Reduce raised intracranial pressure
3. C · To suppress the virus and prevent drug resistance
4. B · Explore the reason, respect the decision, document and inform the prescriber
5. C · Withhold the dose and notify the prescriber
6. A · Екстрапірамідні рухові розлади, як-от гостра дистонія
7. D · Blockade of sympathetic nerves causes vasodilation
8. B · Heparin-induced thrombocytopenia; stop all heparin
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