1.简单
What is a common complication after a lumbar puncture?
- AA rapid rise in blood glucose
- BLoss of hearing in one ear
- CA headache that is worse when sitting or standing
- DPermanent paralysis of both legs from nerve damage
2.简单
How is chronic kidney disease defined?
- AAny single raised creatinine result
- BKidney pain lasting more than a week
- CA sudden rise in creatinine over 48 hours after surgery
- DAbnormal kidney function or structure for over 3 months
3.简单
Post-streptococcal glomerulonephritis typically follows which event?
- AAn episode of bloody diarrhoea from food poisoning
- BA long course of antibiotics for pneumonia
- CA throat or skin infection a few weeks earlier
- DA kidney stone passed the week before
4.中等
Which action is part of an effective bowel programme after a spinal cord injury?
- AA routine at the same time each day, often after a meal
- BRestricting fluids to reduce the volume of stool
- CUsing strong laxatives only when the bowel has not opened for a week
- DAvoiding fibre to prevent bloating
5.中等
Which blood gas pattern is typical of acute kidney injury?
- AHigh pH and high bicarbonate
- BLow pH and high carbon dioxide only
- CHigh pH and low carbon dioxide
- DLow pH and low bicarbonate
6.中等
Which side effects are common with oxybutynin for an overactive bladder?
- ADry mouth and constipation
- BDiarrhoea and heavy sweating
- CA cough and a raised potassium
- DWeight loss and a fast tremor
7.困难
A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?
- AThe cerebral perfusion pressure is 80 mmHg, which is normal
- BThe cerebral perfusion pressure is 105 mmHg, which is too high
- CThe ICP cannot affect brain perfusion if the blood pressure is normal
- DThe cerebral perfusion pressure is 55 mmHg, below the usual target
8.困难
A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?
- A"I will give the glucagon as I was shown."
- B"If she is unconscious, I will pour juice into her mouth."
- C"When she can swallow, I will give her a snack."
- D"I will put her on her side and call an ambulance straight away."
答案
- 1. C · A headache that is worse when sitting or standing
- 2. D · Abnormal kidney function or structure for over 3 months
- 3. C · A throat or skin infection a few weeks earlier
- 4. A · A routine at the same time each day, often after a meal
- 5. D · Low pH and low bicarbonate
- 6. A · Dry mouth and constipation
- 7. D · The cerebral perfusion pressure is 55 mmHg, below the usual target
- 8. B · "If she is unconscious, I will pour juice into her mouth."
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