内外科护理：神经、内分泌与肾脏练习卷（附答案）

为什么记录卒中患者最后一次已知正常的时间很重要？

1. A需要用这个时间计算患者的 GCS 评分
2. B一小时后才就诊的患者不能收入卒中单元
3. C这个时间决定哪一侧大脑受累
4. D溶栓等治疗取决于发病后经过的时间

Which is a common effect of long-term corticosteroid treatment?

1. AThinning of the bones
2. BLow blood glucose
3. CA lower risk of infections
4. DWeight loss and a slim face

在有血液透析内瘘的手臂上，必须避免哪项操作？

1. A测血压袖带或抽血
2. B用肥皂和水清洗
3. C正常活动手臂
4. D轻轻触摸内瘘以感受震颤

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

1. AIt contains the patient's urine
2. BIt contains air that keeps the line open
3. CIt contains concentrated anticoagulant
4. DIt contains a strong antibiotic that must be kept

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with well-controlled hypothyroidism
2. BA patient with a history of angina
3. CA patient who also has asthma
4. DA patient with an allergy to penicillin

A patient has Cushing's syndrome. Which nursing assessment is especially important?

1. AChecking for low blood pressure
2. BWatching for weight loss
3. CMonitoring for a high potassium
4. DRegular blood glucose checks

A drowsy patient's glucose meter shows "HI". What should the nurse do?

1. ARecord "normal" in the notes because no number appears
2. BTreat it as very high, check ketones and escalate
3. CGive glucose gel in case the reading is wrong
4. DAssume the meter is broken and recheck tomorrow

A patient with myasthenia gravis took extra pyridostigmine doses. They now have more weakness, heavy salivation, sweating, diarrhoea, small pupils and a slow pulse. What is most likely?

1. AA normal response to a higher dose
2. BA cholinergic crisis from too much medication
3. CAn allergic reaction to the drug
4. DA myasthenic crisis from too little medication