1.简单
Which isolation precautions are used for a patient with suspected meningococcal meningitis?
- ANo extra precautions, because it is not infectious
- BContact precautions only, with gloves for skin contact
- CAirborne precautions in a negative pressure room for 2 weeks
- DDroplet precautions until about 24 hours of effective antibiotics
2.简单
Which type of insulin is given intravenously, for example in an insulin infusion?
- ASoluble (regular) short-acting insulin
- BLong-acting insulin glargine
- CIntermediate-acting NPH (isophane) insulin
- DPremixed biphasic insulin
3.简单
How is diabetic retinopathy usually picked up early?
- AA yearly blood test for HbA1c only
- BWaiting until the patient notices blurred vision
- CRegular eye screening with retinal photographs
- DChecking the pupils with a torch at every visit
4.中等
A patient has Cushing's syndrome. Which nursing assessment is especially important?
- ARegular blood glucose checks
- BMonitoring for a high potassium
- CChecking for low blood pressure
- DWatching for weight loss
5.中等
卒中静脉溶栓后的最初 24 小时内,哪些观察最重要?
- A每小时的峰流速和血氧饱和度
- B频繁的神经系统检查和血压
- C仅每日体重和液体平衡
- D每小时的肠鸣音和腹围
6.中等
一名高血压难以控制、血钾持续偏低的患者,未使用利尿剂。应考虑哪种疾病?
- A中枢性尿崩症
- B原发性甲状腺功能减退
- C原发性肾上腺皮质功能减退(Addison 病)
- D原发性醛固酮增多症(Conn 综合征)
7.困难
一名服用锂盐的患者多尿、口渴,使用去氨加压素后尿液仍不能浓缩。最可能的原因是什么?
- A头部受伤后的中枢性尿崩症
- B新发的 1 型糖尿病
- C锂引起的肾性尿崩症
- D锂引起的 SIADH
8.困难
A patient with CKD has a potassium of 6.5 mmol/L. Which medicine combination is the most likely contributor?
- AParacetamol (acetaminophen), omeprazole and senna
- BFurosemide, salbutamol and insulin
- CAmlodipine, simvastatin and aspirin
- DRamipril, spironolactone and trimethoprim
答案
- 1. D · Droplet precautions until about 24 hours of effective antibiotics
- 2. A · Soluble (regular) short-acting insulin
- 3. C · Regular eye screening with retinal photographs
- 4. A · Regular blood glucose checks
- 5. B · 频繁的神经系统检查和血压
- 6. D · 原发性醛固酮增多症(Conn 综合征)
- 7. C · 锂引起的肾性尿崩症
- 8. D · Ramipril, spironolactone and trimethoprim
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