1.简单
What does central cyanosis of the lips and tongue indicate?
- ANormal findings in older adults
- BA high haemoglobin level only
- CCold hands caused by the room, with normal oxygen levels
- DLow oxygen saturation of the arterial blood
2.简单
Which test is classically used to diagnose cystic fibrosis?
- APeak flow test
- BTuberculin skin test
- CD-dimer test
- DSweat chloride test
3.简单
What is the normal range for arterial blood pH?
- A6.80–7.00
- B7.35–7.45
- C7.50–7.65
- D7.00–7.20
4.中等
Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?
- ATaking an oestrogen-containing pill
- BAn inherited clotting disorder
- CDamage to a vein during hip surgery
- DImmobility after major surgery
5.中等
The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?
- ACheck the patient and the electrodes, as this is likely artefact
- BStart chest compressions straight away and call the arrest team
- CGive IV amiodarone as a bolus
- DDeliver an immediate defibrillation shock before checking anything
6.中等
A young patient with hypertrophic cardiomyopathy asks why they are told to avoid dehydration. What is the best explanation?
- ALow blood volume can worsen obstruction of blood leaving the heart
- BFluids dissolve the extra muscle in the heart wall
- CDehydration makes the heart muscle grow thicker within a few hours
- DDehydration is the cause of the inherited condition
7.困难
A patient with a tracheostomy suddenly becomes distressed, and a suction catheter will not pass down the tube. What should the nurse do first?
- ARemove the inner cannula
- BInflate the cuff with more air
- CIncrease the oxygen and wait
- DGive a nebulised bronchodilator
8.困难
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- ASuperior vena cava obstruction
- BAn allergic reaction to chemotherapy
- CRight-sided heart failure
- DA deep vein thrombosis in the leg
答案
- 1. D · Low oxygen saturation of the arterial blood
- 2. D · Sweat chloride test
- 3. B · 7.35–7.45
- 4. D · Immobility after major surgery
- 5. A · Check the patient and the electrodes, as this is likely artefact
- 6. A · Low blood volume can worsen obstruction of blood leaving the heart
- 7. A · Remove the inner cannula
- 8. A · Superior vena cava obstruction
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