1.Dễ
Dextromethorphan is used as:
- AAn antibiotic for chest infections
- BA nasal decongestant
- CA cough suppressant
- DAn expectorant that thins mucus
2.Dễ
Buspirone is used mainly to treat:
- APanic attacks needing immediate relief
- BGeneralised anxiety disorder
- CSevere pain
- DAcute alcohol withdrawal
3.Dễ
Famotidine belongs to which drug class?
- AProstaglandin analogues
- BProton pump inhibitors
- CAntacids
- DH2 receptor antagonists
4.Trung bình
Thuốc ức chế men chuyển (ACE) hạ huyết áp bằng cách nào?
- ATăng tái hấp thu natri ở thận
- BNgăn chuyển angiotensin I thành angiotensin II
- CChẹn kênh calci típ L ở tế bào cơ trơn mạch máu
- DChẹn thụ thể beta-1 ở tim
5.Trung bình
What should the nurse teach a patient about taking levothyroxine?
- ATake it only on days when feeling tired
- BTake it with milk at dinner, as calcium protects the stomach lining
- CTake it together with the iron tablet to save time
- DTake it on an empty stomach, 30–60 minutes before breakfast
6.Trung bình
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
- BLeave the tablet on the bedside table for later
- CExplore the reason, respect the decision, document and inform the prescriber
- DHide the tablet in the patient's food
7.Khó
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
- ALow albumin speeds up phenytoin metabolism
- BLow albumin makes phenytoin bind more tightly, so the drug is less active
- CMore phenytoin is unbound when albumin is low, so free levels rise
- DThe total level is high, but the laboratory is wrong
8.Khó
Which strategy is most effective at preventing errors with IV insulin infusions?
- AAn independent double check and a smart pump with a drug library
- BWriting "U" for units on the order
- CPreparing insulin infusions in advance and leaving them unlabelled
- DUsing insulin syringes to measure large IV volumes
Đáp án
- 1. C · A cough suppressant
- 2. B · Generalised anxiety disorder
- 3. D · H2 receptor antagonists
- 4. B · Ngăn chuyển angiotensin I thành angiotensin II
- 5. D · Take it on an empty stomach, 30–60 minutes before breakfast
- 6. C · Explore the reason, respect the decision, document and inform the prescriber
- 7. C · More phenytoin is unbound when albumin is low, so free levels rise
- 8. A · An independent double check and a smart pump with a drug library
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