Phiếu bài tập Nội–ngoại khoa: thần kinh, nội tiết và thận có đáp án

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

1. AFacial nerve (VII)
2. BTrigeminal nerve (V)
3. CAccessory nerve (XI)
4. DHypoglossal nerve (XII)

Vì sao nhiều bệnh nhân bệnh thận mạn bị thiếu máu?

1. AThận phá hủy hồng cầu
2. BLọc máu lấy đi sắt khỏi máu
3. CThận tạo ít erythropoietin hơn
4. DMất máu qua nước tiểu mỗi ngày

Tỷ trọng nước tiểu cho điều dưỡng biết điều gì?

1. ANước tiểu chứa bao nhiêu protein
2. BCó bao nhiêu glucose trong máu
3. CNước tiểu có vi khuẩn hay không
4. DNước tiểu đậm đặc đến mức nào

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. ACalcium
2. BGlucose
3. CAmylase
4. DPotassium

Why are tacrolimus blood levels checked regularly?

1. AThe levels show whether the patient has diabetes
2. BThe drug only works if levels are as high as possible
3. CThe levels show how much urine the kidney is making
4. DToo high harms the kidney; too low risks rejection

What does a positive pronator drift test show?

1. AWeakness of the eye muscles
2. BLoss of hearing on one side
3. CSubtle weakness in one arm
4. DA normal response in older adults

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. AA full bladder, so encourage oral fluids
2. BAn allergic reaction to food, so give an antihistamine
3. CParalytic ileus, so keep nil by mouth and prepare for an NG tube
4. DNormal constipation, so give a large meal to stimulate the bowel

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6,0 mmol/L. What is the priority?

1. AA fluid restriction for the low sodium
2. BOral hydrocortisone and an antiemetic by mouth
3. CIV potassium to correct the electrolytes
4. DIV hydrocortisone straight away, plus IV fluids