1.简单
Which is a common cause of a low potassium level?
- ATaking an ACE inhibitor such as ramipril
- BAdvanced chronic kidney disease
- CAddison's disease
- DTaking a loop diuretic such as furosemide
2.简单
What is urge incontinence?
- ADribbling because the bladder never empties
- BA sudden, strong need to pass urine, followed by leaking
- CLeaking only when laughing, coughing or lifting heavy objects
- DLeaking because the toilet is too far away
3.简单
哪些特征是 Addison 病(原发性肾上腺皮质功能减退)的典型表现?
- A怕热、震颤和眼球突出
- B血钠高、血钾低
- C疲乏、体重减轻、低血压和皮肤变黑
- D体重增加、高血压和紫色妊娠纹样条纹
4.中等
A patient uses a continuous glucose monitor. Which statement is correct?
- AIt makes finger-prick checks unnecessary in every situation
- BIt reads glucose in fluid under the skin, a little behind blood glucose
- CIt works by giving small doses of insulin automatically
- DIt measures glucose directly in the blood every second of the day
5.中等
A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?
- ACalcium
- BPotassium
- CGlucose
- DAmylase
6.中等
Why can a patient with an insulin pump develop DKA within hours if the pump stops working?
- AThe pump gives only rapid-acting insulin, so there is no long-acting reserve
- BThe battery in the pump releases chemicals into the blood
- CThe body becomes allergic to insulin when the pump stops
- DThe pump gives long-acting insulin, which builds up and stops working all at once
7.困难
An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?
- AA sign that the drug dose is too low
- BAnticholinergic side effects of the drug
- CNormal ageing that needs no review
- DA symptom of a high potassium from the drug
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?
- AContinue the session and recheck in 30 minutes
- BClamp the lines and lay the patient left side down, head low
- CSpeed up the pump to clear the air into the patient
- DSit the patient upright and give a drink of water
答案
- 1. D · Taking a loop diuretic such as furosemide
- 2. B · A sudden, strong need to pass urine, followed by leaking
- 3. C · 疲乏、体重减轻、低血压和皮肤变黑
- 4. B · It reads glucose in fluid under the skin, a little behind blood glucose
- 5. B · Potassium
- 6. A · The pump gives only rapid-acting insulin, so there is no long-acting reserve
- 7. B · Anticholinergic side effects of the drug
- 8. B · Clamp the lines and lay the patient left side down, head low
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