内外科护理：神经、内分泌与肾脏练习卷（附答案）

免费可打印的内外科护理：神经、内分泌与肾脏练习卷：8 道题，从简单到考试水平，附答案。可打印或另存为 PDF。

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姓名: ____________________   日期: ____________

1.简单

Which symptoms are typical of diabetic peripheral neuropathy?

  1. AMorning stiffness of the small hand joints
  2. BPain in the calves that starts when walking
  3. CA painful red, hot swollen big toe at night
  4. DNumbness, tingling or burning in the feet
2.简单

In primary hypothyroidism, what is the usual TSH result?

  1. ALow
  2. BUndetectable
  3. CHigh
  4. DNormal
3.简单

Which type of insulin is given intravenously, for example in an insulin infusion?

  1. ASoluble (regular) short-acting insulin
  2. BPremixed biphasic insulin
  3. CLong-acting insulin glargine
  4. DIntermediate-acting NPH (isophane) insulin
4.中等

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

  1. AAs a single large weekly injection
  2. BAt a low dose, increased slowly
  3. COnly after the angina has been cured
  4. DAt a full dose from the first day
5.中等

A routine blood test shows a potassium of 6.4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

  1. AStart dialysis as soon as possible
  2. BInform the doctor and arrange an urgent repeat sample
  3. CIgnore it, because haemolysis always gives a normal result
  4. DGive oral potassium supplements straight away
6.中等

Why is once-daily prednisolone usually taken in the morning with food?

  1. ABecause it causes drowsiness and is safer to take during the day
  2. BBecause food doubles the strength of the dose
  3. CTo match the natural cortisol rhythm and protect the stomach
  4. DBecause it cannot be absorbed at night
7.困难

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

  1. AA normal reaction to the spinal anaesthetic
  2. BTURP syndrome from absorbed irrigation fluid
  3. CAn allergic reaction to the catheter
  4. DHypoglycaemia from fasting for many hours before surgery
8.困难

A patient with a head injury now has a blood pressure of 190/70 mmHg, a pulse of 48/min and irregular breathing. How should the nurse interpret this?

  1. AA normal stress response to pain, anxiety and the noise of the ward
  2. BNeurogenic shock from a spinal cord injury
  3. CHypovolaemic shock from internal bleeding
  4. DCushing's triad, a late sign of raised intracranial pressure

答案

  1. 1. D · Numbness, tingling or burning in the feet
  2. 2. C · High
  3. 3. A · Soluble (regular) short-acting insulin
  4. 4. B · At a low dose, increased slowly
  5. 5. B · Inform the doctor and arrange an urgent repeat sample
  6. 6. C · To match the natural cortisol rhythm and protect the stomach
  7. 7. B · TURP syndrome from absorbed irrigation fluid
  8. 8. D · Cushing's triad, a late sign of raised intracranial pressure

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