Phiếu bài tập Điều dưỡng lâm sàng có đáp án

Công cụ nào được dùng để đánh giá nguy cơ phát triển loét tỳ đè của bệnh nhân?

1. ATrắc nghiệm trạng thái tâm thần tối thiểu (MMSE)
2. BĐiểm Apgar
3. CThang Braden hoặc Waterlow
4. DThang điểm hôn mê Glasgow

Chất nôn "như bã cà phê" gợi ý:

1. ASuy thận
2. BTắc ruột ở thấp trong đại tràng
3. CNgộ độc thực phẩm có nôn nhưng không chảy máu
4. DChảy máu ở đường tiêu hóa trên

Stress urinary incontinence is leakage of urine:

1. AWhen coughing, sneezing or lifting
2. BCaused by a blocked catheter
3. COnly when feeling anxious or upset
4. DOnly during sleep

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CMetabolic acidosis
4. DRespiratory acidosis

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. ABiliary colic
2. BGastric ulcer
3. CAppendicitis
4. DDiverticulitis

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

1. AA urinary tract infection
2. BNormal dialysis fluid
3. CPeritonitis
4. DConstipation

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"Please review him within the next 15 minutes."
2. B"His blood pressure is 85/50 and he is confused."
3. C"I am calling about Mr Smith, who is breathless."
4. D"He was admitted three days ago with pneumonia."

Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?

1. AA haematoma compressing the airway
2. BA thyroid storm
3. CHypocalcaemia from parathyroid damage
4. DNormal postoperative swelling