1.Dễ
Which finding is a common reason for urgent dialysis?
- AA mildly raised creatinine with no symptoms
- BA haemoglobin of 105 g/L (10,5 g/dL) with mild tiredness
- CHyperkalaemia that does not respond to treatment
- DA single episode of itching
2.Dễ
Which symptoms are typical of benign prostatic hyperplasia?
- ABurning pain on passing urine with a high fever
- BLeaking urine only when coughing or laughing
- CPainless red urine with clots and weight loss
- DA weak stream, hesitancy and passing urine at night
3.Dễ
After an acute stroke, what must happen before the patient is given food, drink or oral medicines?
- AA swallow screen by a trained professional
- BA chest X-ray to check the lungs
- CA check that bowel sounds are present in all four quadrants
- DA full set of blood tests
4.Trung bình
Sau phẫu thuật tuyến yên, bệnh nhân đi tiểu 400 mL mỗi giờ trong ba giờ với tỷ trọng thấp. Điều dưỡng nên nghi ngờ điều gì?
- ALợi niệu bình thường
- BTổn thương thận cấp
- CSIADH
- DĐái tháo nhạt
5.Trung bình
Kiểu điện giải nào điển hình của bệnh Addison?
- ANatri thấp và kali cao
- BNatri cao và kali thấp
- CCalci cao và phosphate thấp
- DKali thấp và đường huyết thấp
6.Trung bình
A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
- ALow blood glucose
- BA simple urinary tract infection
- CNormal nausea from the drug
- DAcute pancreatitis
7.Khó
A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?
- AA sign that the patient is pretending to be weak
- BNormal postictal tiredness that needs no further assessment or imaging at all
- CCertainly a stroke, so the seizure can be ignored
- DPossible postictal (Todd's) paresis, but a stroke must still be excluded
8.Khó
Two days after an ileal conduit was formed, the stoma is dark purple and dry. What should the nurse do?
- ARecord it as normal for a new stoma
- BApply a warm compress to improve the colour of the stoma
- CReport it urgently, because the stoma may be ischaemic
- DChange the bag and check again next week
Đáp án
- 1. C · Hyperkalaemia that does not respond to treatment
- 2. D · A weak stream, hesitancy and passing urine at night
- 3. A · A swallow screen by a trained professional
- 4. D · Đái tháo nhạt
- 5. A · Natri thấp và kali cao
- 6. D · Acute pancreatitis
- 7. D · Possible postictal (Todd's) paresis, but a stroke must still be excluded
- 8. C · Report it urgently, because the stoma may be ischaemic
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