内外科护理：神经、内分泌与肾脏练习卷（附答案）

Which group of features is typical of Parkinson's disease?

1. AIntention tremor, muscle wasting and twitching under the skin
2. BDrooping eyelids and double vision that get worse later in the day
3. CResting tremor, rigidity and slow movement
4. DWeakness rising from the feet, with tingling and lost reflexes

哪个腺体产生皮质醇？

1. A肾上腺皮质
2. B垂体后叶
3. C甲状腺
4. D肾上腺髓质

在同一支注射器里混合短效胰岛素和中效（NPH，浑浊）胰岛素时，应先抽取哪种？

1. A先抽浑浊的胰岛素，再抽澄清的短效胰岛素
2. B先抽澄清的短效胰岛素，再抽浑浊的胰岛素
3. C先在一个药瓶里混合，再一起抽取
4. D顺序都可以，没有区别

Why are tacrolimus blood levels checked regularly?

1. AThe drug only works if levels are as high as possible
2. BThe levels show whether the patient has diabetes
3. CToo high harms the kidney; too low risks rejection
4. DThe levels show how much urine the kidney is making

What does a positive pronator drift test show?

1. ALoss of hearing on one side
2. BWeakness of the eye muscles
3. CSubtle weakness in one arm
4. DA normal response in older adults

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. ASpinal injuries always damage the large veins of the legs
2. BThe injury makes the blood too thin to clot properly in the veins
3. CThey usually take oestrogen as part of their treatment
4. DParalysed leg muscles no longer pump blood back to the heart

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"As long as I take my tablets, I can swim alone."
2. B"I will keep a record of any seizures I have."
3. C"I will tell my friends what to do if I have a seizure."
4. D"I will take a shower rather than a bath."

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1.85 mmol/L (about 7.4 mg/dL). What does the nurse expect?

1. AA loop diuretic to remove the extra calcium
2. BIV calcium gluconate and monitoring for laryngospasm
3. CIV potassium chloride and a fluid restriction
4. DOral levothyroxine, with a recheck of the calcium in a month