1.Dễ
In stroke care, what does the “last known well” time mean?
- AThe time the first symptom was noticed by a stranger
- BThe time the patient arrived at the hospital and was triaged
- CThe time of the patient’s last meal
- DThe last time the patient was seen without stroke symptoms
2.Dễ
In the ABC framework, which finding is mainly a breathing problem?
- AStridor caused by a swollen throat
- BHeart rate 150/min with a low blood pressure and cold skin
- CShallow breaths with an SpO₂ of 85% on room air
- DA blood glucose of 60 mg/dL (3,3 mmol/L)
3.Dễ
Which drug is used to reverse the effect of warfarin?
- AFlumazenil
- BNaloxone
- CVitamin K
- DProtamine sulfate
4.Trung bình
A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?
- AMoist and pink-red
- BDark purple or black
- CSlightly swollen
- DA little bleeding when cleaned
5.Trung bình
A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?
- ATalking while eating to stay alert
- BDrinking thin fluids quickly through a straw between bites
- CSitting upright with the chin tucked down while swallowing
- DLying flat with the head tilted back
6.Trung bình
Một phụ tá điều dưỡng báo huyết áp của người bệnh là 168/98 mmHg (trước đó là 130/80) và người bệnh đau đầu. RN nên làm gì?
- ANhờ phụ tá đo lại huyết áp sau một giờ
- BGhi lại giá trị và tiếp tục vòng phát thuốc
- CNhờ phụ tá cho thuốc hạ huyết áp theo nhu cầu ngay bây giờ
- DĐánh giá người bệnh, đo lại huyết áp và tìm triệu chứng
7.Khó
A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?
- AThe pain from the fracture
- BThe open fracture of the leg
- CThe risk of wound infection
- DThe suspected tension pneumothorax
8.Khó
Which patient with cirrhosis should the nurse see first?
- ALarge ascites that is unchanged from yesterday
- BVomiting bright red blood, heart rate 120/min
- CWants to talk about stopping drinking alcohol for good
- DLong-standing jaundice and itchy skin, asking for cream
Đáp án
- 1. D · The last time the patient was seen without stroke symptoms
- 2. C · Shallow breaths with an SpO₂ of 85% on room air
- 3. C · Vitamin K
- 4. B · Dark purple or black
- 5. C · Sitting upright with the chin tucked down while swallowing
- 6. D · Đánh giá người bệnh, đo lại huyết áp và tìm triệu chứng
- 7. D · The suspected tension pneumothorax
- 8. B · Vomiting bright red blood, heart rate 120/min
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.