1.简单
Which of these is one of the "rights" of safe medication administration?
- ARight nurse on duty
- BRight bed number
- CRight brand of packaging
- DRight route
2.简单
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy suppresses the bone marrow and lowers the white cell count
- BChemotherapy raises the white cell count too high for it to work properly
- CChemotherapy makes the skin thicker
- DChemotherapy stops the patient from sweating
3.简单
The term "hypernatraemia" means:
- AA high blood glucose level
- BA high serum potassium level
- CA high serum sodium level
- DA low serum sodium level
4.中等
即将开始输血。最重要的安全核查是什么?
- A核对患者的饮食偏好
- B只核对患者体重
- C在床旁确认患者身份并与血液成分核对一致
- D用微波炉加热所有血液
5.中等
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- ADelaying pain relief until a diagnosis is confirmed
- BRestricting oral fluids
- CApplying cold packs to the painful areas
- DGiving prompt, effective analgesia
6.中等
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
- AWeigh the patient again in six months and review at that point
- BRefer to the dietitian and start a nutrition care plan with food charts
- CRestrict fluids to encourage appetite and give a low-protein diet instead
- DEncourage a low-calorie diet
7.困难
A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?
- AHypoglycaemia
- BSimple gastroenteritis with no further concern
- CHyperosmolar hyperglycaemic state
- DEuglycaemic diabetic ketoacidosis
8.困难
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AIts active metabolites build up because the kidneys excrete them
- BKidney failure makes the stomach absorb more morphine
- CKidney disease makes the opioid receptors disappear
- DThe kidneys normally activate morphine, so more of it becomes active
答案
- 1. D · Right route
- 2. A · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 3. C · A high serum sodium level
- 4. C · 在床旁确认患者身份并与血液成分核对一致
- 5. D · Giving prompt, effective analgesia
- 6. B · Refer to the dietitian and start a nutrition care plan with food charts
- 7. D · Euglycaemic diabetic ketoacidosis
- 8. A · Its active metabolites build up because the kidneys excrete them
完整分步解答:请在 examproblems.com 上练习本主题。