1.Dễ
What is the most reliable indicator of pain in a patient who can communicate?
- AThe nurse's impression of their face
- BThe patient's heart rate
- CThe patient's own report
- DThe patient's blood pressure
2.Dễ
What is the usual normal platelet count in adults?
- A1,000–2,000 × 109/L (1–2 million/mm3)
- B1–2 × 109/L (1,000–2,000/mm3)
- C4–11 × 109/L (4,000–11,000/mm3)
- D150–400 × 109/L (150,000–400,000/mm3)
3.Dễ
Mục nào thuộc gói "Sepsis Six"?
- ALấy máu nuôi cấy
- BCho thuốc nhuận tràng
- CSắp xếp xuất viện
- DBắt đầu vật lý trị liệu
4.Trung bình
Which technique is correct when suctioning through a tracheostomy?
- AApply suction continuously while inserting the catheter as far as it will go
- BKeep suctioning for at least a minute each time to clear all the secretions
- CSuction every 15 minutes whether or not secretions are present
- DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
5.Trung bình
A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?
- ARespiratory alkalosis
- BMetabolic acidosis
- CRespiratory acidosis
- DMetabolic alkalosis
6.Trung bình
A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?
- AIn any position, as long as the feed runs slowly
- BLying on the left side with the head down to help the feed drain
- CWith the head of the bed raised to at least 30 degrees
- DLying completely flat
7.Khó
A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?
- ATension headache
- BMigraine with aura in a known migraine sufferer
- CSinusitis
- DSubarachnoid haemorrhage
8.Khó
A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?
- AA lower GI bleed from diverticular disease
- BA Mallory-Weiss tear from a small amount of vomiting
- CSwallowed blood from a nosebleed
- DBleeding from ruptured oesophageal varices
Đáp án
- 1. C · The patient's own report
- 2. D · 150–400 × 109/L (150,000–400,000/mm3)
- 3. A · Lấy máu nuôi cấy
- 4. D · Apply suction only while withdrawing the catheter, for no more than about 10–15 seconds
- 5. B · Metabolic acidosis
- 6. C · With the head of the bed raised to at least 30 degrees
- 7. D · Subarachnoid haemorrhage
- 8. D · Bleeding from ruptured oesophageal varices
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