1.简单
What does the ASA physical status classification describe?
- AThe patient's general health before anaesthesia
- BThe type of anaesthetic drug the surgeon prefers
- CThe exact length of the planned operation
- DThe patient's pain score after surgery
2.简单
Which sign is typical of hepatic encephalopathy?
- AA fine rash over the chest and arms
- BA flapping tremor of the outstretched hands
- CA stiff neck with sensitivity to light
- DA drooping eyelid on one side
3.简单
Why is nail varnish or a gel nail often removed from at least one finger before surgery?
- ABecause it is a checklist rule with no clinical reason
- BBecause the varnish can make the anaesthetic gas less effective
- CBecause varnish raises the patient's blood pressure
- DSo pulse oximetry readings and nail colour can be assessed accurately
4.中等
Which lung problem is a known toxicity of bleomycin?
- APneumothorax from coughing
- BAsthma from pollen
- CPulmonary fibrosis
- DLung cancer within weeks
5.中等
Which change suggests that a burn wound is becoming infected?
- AThe wound becoming pink and a little smaller at each dressing change
- BDry, healing skin with mild itching
- CA partial-thickness burn becoming deeper, with new discolouration
- DLess exudate on each dressing change
6.中等
Which description fits a category (stage) 4 pressure ulcer?
- AA shallow wound into the dermis only
- BFull-thickness loss with exposed bone, tendon or muscle
- CIntact skin with redness that does not blanch
- DA blister filled with clear fluid over the heel or sacrum
7.困难
A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?
- AGive a warm drink to soothe the throat
- BCall for urgent anaesthetic help, as the airway is swelling
- CLay the patient flat to help them sleep
- DEncourage the patient to rest the voice and reassess tomorrow
8.困难
After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?
- ANormal concentrated urine; restrict fluids
- BBleeding from the bladder; stop all fluids
- CA urinary infection; send a sample and wait for the result
- DMyoglobin from muscle damage; a higher urine output target
答案
- 1. A · The patient's general health before anaesthesia
- 2. B · A flapping tremor of the outstretched hands
- 3. D · So pulse oximetry readings and nail colour can be assessed accurately
- 4. C · Pulmonary fibrosis
- 5. C · A partial-thickness burn becoming deeper, with new discolouration
- 6. B · Full-thickness loss with exposed bone, tendon or muscle
- 7. B · Call for urgent anaesthetic help, as the airway is swelling
- 8. D · Myoglobin from muscle damage; a higher urine output target
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