1.简单
How should a patient collect a midstream urine sample?
- ACollect the very first drops into the container
- BLet the first part go in the toilet, then catch the middle
- CCollect urine from the toilet bowl afterwards
- DCollect urine over 24 hours into one bottle
2.简单
Which symptoms are typical of uraemia in advanced kidney disease?
- ASevere flank pain with visible blood in the urine
- BExcess thirst with a very high glucose
- CHeat intolerance, tremor and weight loss
- DItching, nausea, tiredness and poor appetite
3.简单
哪种简单检查用于筛查糖尿病患者足部的保护性感觉丧失?
- A测量脚趾的毛细血管血糖
- B检查手指的毛细血管再充盈
- C用 10 g 单丝触碰足底
- D测量小腿周径
4.中等
A patient with Addison's disease takes fludrocortisone as well as hydrocortisone. Why?
- ATo lower the blood pressure
- BTo treat a low thyroid hormone level
- CTo replace the missing adrenaline
- DTo replace the missing aldosterone
5.中等
A kidney transplant recipient asks about travel vaccines. Which statement is correct?
- AVaccines will cause the kidney to be rejected
- BLive vaccines are usually avoided
- COnly live vaccines are effective after a transplant
- DAll vaccines are completely safe after a transplant
6.中等
A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?
- AEncourage a high-salt diet to balance the fluids
- BGive large amounts of IV fluid
- CMonitor BP, fluid balance and daily weight
- DCheck the weight once a week
7.困难
A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?
- AA pseudo-relapse caused by infection
- BA side effect of physiotherapy
- CA true relapse that needs high-dose steroids
- DA change to progressive MS
8.困难
An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?
- AStart sepsis care at once, with IV antibiotics and fluids
- BGive oral antibiotics and recheck in four hours
- CEncourage oral fluids and wait for the urine culture
- DTreat the confusion with a sedative
答案
- 1. B · Let the first part go in the toilet, then catch the middle
- 2. D · Itching, nausea, tiredness and poor appetite
- 3. C · 用 10 g 单丝触碰足底
- 4. D · To replace the missing aldosterone
- 5. B · Live vaccines are usually avoided
- 6. C · Monitor BP, fluid balance and daily weight
- 7. A · A pseudo-relapse caused by infection
- 8. A · Start sepsis care at once, with IV antibiotics and fluids
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