1.简单
Which ECG change is typical of hyperkalaemia?
- AProminent U waves
- BTall, peaked T waves
- CFlattened T waves
- DA shortened PR interval
2.简单
What is diabetic gastroparesis?
- AA blockage of the small bowel by scar tissue
- BA stomach ulcer caused by long-term metformin use
- CSlow emptying of the stomach due to nerve damage
- DInflammation of the pancreas from high glucose
3.简单
What is an arteriovenous fistula?
- AA surgical join between an artery and a vein
- BA blood clot that blocks an artery in the arm
- CA plastic tube placed in a large neck vein
- DA catheter placed into the abdominal cavity
4.中等
A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?
- ADehydration from drinking too little
- BA sign that the dose is too low
- CLiver toxicity from valproate
- DA normal adjustment reaction to the drug
5.中等
When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?
- A4, withdraws from pain
- B5, localises to pain
- C6, obeys commands
- D3, abnormal flexion
6.中等
How does bladder training help urge incontinence?
- AA catheter is used every night
- BThe patient goes to the toilet every 15 minutes
- CThe time between voids is slowly increased
- DThe patient drinks as little as possible
7.困难
An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?
- AStart sepsis care at once, with IV antibiotics and fluids
- BTreat the confusion with a sedative
- CGive oral antibiotics and recheck in four hours
- DEncourage oral fluids and wait for the urine culture
8.困难
During haemodialysis, a patient suddenly becomes breathless with chest pain, and air is seen in the line. What should the nurse do first?
- ASpeed up the pump to clear the air into the patient
- BContinue the session and recheck in 30 minutes
- CClamp the lines and lay the patient left side down, head low
- DSit the patient upright and give a drink of water
答案
- 1. B · Tall, peaked T waves
- 2. C · Slow emptying of the stomach due to nerve damage
- 3. A · A surgical join between an artery and a vein
- 4. C · Liver toxicity from valproate
- 5. B · 5, localises to pain
- 6. C · The time between voids is slowly increased
- 7. A · Start sepsis care at once, with IV antibiotics and fluids
- 8. C · Clamp the lines and lay the patient left side down, head low
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