1.Dễ
Trong hệ thống phân loại ba mức, người bệnh bị trật mắt cá chân, dấu hiệu sinh tồn bình thường và đau nhẹ thường được phân loại là:
- ACấp cứu (emergent)
- BKhông khẩn (non-urgent)
- CKhẩn (urgent)
- DChờ đợi (expectant)
2.Dễ
In mmHg, what is the normal range for arterial PaCO₂?
- A7,35–7,45 mmHg
- B22–26 mmHg
- C35–45 mmHg
- D80–100 mmHg
3.Dễ
What is status epilepticus?
- AA faint caused by standing up too quickly
- BA single short seizure that stops on its own within a minute or two
- CA seizure lasting 5 minutes or more, or repeated seizures without recovery
- DA seizure that happens only during sleep
4.Trung bình
A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?
- AReport it, because a different oxygen device is likely to be needed
- BRecheck the SpO₂ at the next routine set of observations in four hours
- CTurn the nasal cannula up to 15 L/min
- DRemove the oxygen to see if the SpO₂ changes
5.Trung bình
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- ALay the patient flat with the legs raised
- BGive a warm drink and recheck the blood pressure in an hour
- CSit the patient upright with the legs lowered
- DApply extra blankets to keep the patient warm and calm
6.Trung bình
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
- AVitamin K deficiency
- BAn expected effect that needs no action
- CIron deficiency anemia
- DHeparin-induced thrombocytopenia
7.Khó
Which patient finding after a total knee replacement needs the nurse’s action first?
- APain of 4/10 when the physiotherapist bends the knee during the morning session
- BA small amount of dried blood on the dressing
- CAsks for an ice pack to help with swelling around the knee
- DSudden calf pain and swelling in the operated leg, with new breathlessness
8.Khó
Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?
- AReassure her that this is normal “baby blues”
- BAdvise more sleep and book a routine follow-up visit for next month
- CLeave her alone with the baby to bond
- DKeep the mother and baby safe and arrange urgent psychiatric care
Đáp án
- 1. B · Không khẩn (non-urgent)
- 2. C · 35–45 mmHg
- 3. C · A seizure lasting 5 minutes or more, or repeated seizures without recovery
- 4. A · Report it, because a different oxygen device is likely to be needed
- 5. C · Sit the patient upright with the legs lowered
- 6. D · Heparin-induced thrombocytopenia
- 7. D · Sudden calf pain and swelling in the operated leg, with new breathlessness
- 8. D · Keep the mother and baby safe and arrange urgent psychiatric care
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