1.简单
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?
- A先抽澄清的短效胰岛素,再抽浑浊的胰岛素
- B先抽浑浊的胰岛素,再抽澄清的短效胰岛素
- C顺序都可以,没有区别
- D先在一个药瓶里混合,再一起抽取
2.简单
What is the main effect of parathyroid hormone (PTH)?
- AIt raises blood calcium
- BIt lowers blood glucose
- CIt lowers blood potassium
- DIt raises blood sodium
3.简单
Which common painkiller can harm the kidneys, especially in dehydration?
- AParacetamol (acetaminophen)
- BMorphine
- CIbuprofen
- DCodeine
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
Which finding most suggests fluid overload in a patient with chronic kidney disease?
- AA weight loss of 1 kg (2.2 lb) after a hot day
- BDark yellow urine and thirst
- CA weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- DA dry mouth and a low blood pressure when standing
6.中等
How does bladder training help urge incontinence?
- AThe patient drinks as little as possible
- BThe time between voids is slowly increased
- CA catheter is used every night
- DThe patient goes to the toilet every 15 minutes
7.困难
Which patient with a spinal cord injury is at risk of autonomic dysreflexia?
- AA patient with an injury at L3
- BA patient with an injury at T4
- CA patient with an injury at S2
- DA patient with an injury at L5
8.困难
A patient with acute glomerulonephritis has a BP of 190/115 mmHg, a severe headache and blurred vision. Which is the priority?
- AEncourage a walk to relieve the headache
- BUrgent escalation for BP control and close neuro checks
- CGive extra oral fluids to correct the low urine output
- DRecheck the BP at the next routine round
答案
- 1. A · 先抽澄清的短效胰岛素,再抽浑浊的胰岛素
- 2. A · It raises blood calcium
- 3. C · Ibuprofen
- 4. D · Use glasses and hearing aids and reorient the patient often
- 5. C · A weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- 6. B · The time between voids is slowly increased
- 7. B · A patient with an injury at T4
- 8. B · Urgent escalation for BP control and close neuro checks
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