1.简单
Which hormones are released from the posterior pituitary gland?
- AGrowth hormone and prolactin
- BInsulin and cortisol
- CTSH and ACTH
- DADH (vasopressin) and oxytocin
2.简单
The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?
- AAccessory nerve (XI)
- BTrigeminal nerve (V)
- CHypoglossal nerve (XII)
- DFacial nerve (VII)
3.简单
A patient with advanced CKD has a high potassium. Which foods are often limited?
- ABananas, potatoes and oranges
- BWhite rice, pasta and bread
- CEgg whites, chicken and fish
- DApples, berries and cabbage
4.中等
Which lifestyle advice best helps a patient with epilepsy reduce their seizures?
- AAvoid all physical exercise and stay indoors
- BKeep regular sleep and take every dose on time
- CSkip a dose on days without any warning signs
- DDrink coffee in the evening to stay alert
5.中等
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
- AHeat can briefly worsen MS symptoms, which settle when they cool down
- BThey should take very cold baths to reverse the damage
- CThis shows that the disease has entered a new progressive stage
- DHot baths cause new areas of damage in the brain
6.中等
A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?
- AA strict low-protein diet
- BA low-calorie diet to protect the heart
- CA diet very high in caffeine for energy
- DA high-calorie diet with enough protein
7.困难
A patient with hypopituitarism needs both hydrocortisone and levothyroxine. Which is usually started first?
- ABoth on the same day, in any order
- BHydrocortisone
- CLevothyroxine
- DNeither, until symptoms appear
8.困难
A drowsy patient's glucose meter shows "HI". What should the nurse do?
- ATreat it as very high, check ketones and escalate
- BAssume the meter is broken and recheck tomorrow
- CRecord "normal" in the notes because no number appears
- DGive glucose gel in case the reading is wrong
答案
- 1. D · ADH (vasopressin) and oxytocin
- 2. A · Accessory nerve (XI)
- 3. A · Bananas, potatoes and oranges
- 4. B · Keep regular sleep and take every dose on time
- 5. A · Heat can briefly worsen MS symptoms, which settle when they cool down
- 6. D · A high-calorie diet with enough protein
- 7. B · Hydrocortisone
- 8. A · Treat it as very high, check ketones and escalate
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