1.简单
Which ECG change is typical of hyperkalaemia?
- AA shortened PR interval
- BProminent U waves
- CFlattened T waves
- DTall, peaked T waves
2.简单
Which description fits a cluster headache?
- AA mild band-like ache across both sides of the head
- BA throbbing headache on both sides after drinking coffee
- CA slowly worsening headache over months with vomiting in the morning
- DSevere one-sided pain around the eye with a watery eye
3.简单
Why should people with diabetic neuropathy avoid walking barefoot?
- AInsulin is absorbed less well from the feet and the legs
- BBare feet lose too much heat through the skin
- CThey may not feel an injury, so it can go unnoticed
- DWalking barefoot raises the blood glucose
4.中等
Which nursing action helps most to prevent and manage delirium in an older inpatient?
- AKeep the lights on all night so the patient can see clearly
- BMove the patient to a different room each day for variety
- CRestrain the patient so that they do not wander off the ward
- DUse glasses and hearing aids and reorient the patient often
5.中等
Why are tacrolimus blood levels checked regularly?
- AThe levels show how much urine the kidney is making
- BThe drug only works if levels are as high as possible
- CToo high harms the kidney; too low risks rejection
- DThe levels show whether the patient has diabetes
6.中等
一名右半球卒中的患者忽略盘子左侧的食物。这称为什么?
- A表达性失语
- B吞咽困难
- C左侧忽略
- D小脑共济失调
7.困难
一名服用锂盐的患者多尿、口渴,使用去氨加压素后尿液仍不能浓缩。最可能的原因是什么?
- A新发的 1 型糖尿病
- B锂引起的肾性尿崩症
- C锂引起的 SIADH
- D头部受伤后的中枢性尿崩症
8.困难
The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?
- ALook for causes such as low oxygen, pain, retention or infection
- BAsk for a strong sedative so that the patient can sleep
- CApply wrist restraints to protect the IV line
- DTell the family that this is the start of dementia
答案
- 1. D · Tall, peaked T waves
- 2. D · Severe one-sided pain around the eye with a watery eye
- 3. C · They may not feel an injury, so it can go unnoticed
- 4. D · Use glasses and hearing aids and reorient the patient often
- 5. C · Too high harms the kidney; too low risks rejection
- 6. C · 左侧忽略
- 7. B · 锂引起的肾性尿崩症
- 8. A · Look for causes such as low oxygen, pain, retention or infection
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