1.简单
Why is dexamethasone often given to patients with a brain tumour?
- ATo kill the tumour cells directly
- BTo raise the blood pressure
- CTo reduce swelling around the tumour
- DTo prevent infection after a biopsy
2.简单
Which hormones does the adrenal medulla release?
- ACortisol and aldosterone
- BAdrenaline and noradrenaline
- CInsulin and glucagon
- DThyroxine and calcitonin
3.简单
Why should people with diabetic neuropathy avoid walking barefoot?
- ABare feet lose too much heat through the skin
- BThey may not feel an injury, so it can go unnoticed
- CWalking barefoot raises the blood glucose
- DInsulin is absorbed less well from the feet and the legs
4.中等
How does the nurse test the facial nerve (VII)?
- AShine a light in each eye and check the pupil response
- BAsk the patient to stick out the tongue and move it from side to side
- CAsk them to raise the eyebrows, shut the eyes tightly and smile
- DTouch the forehead, cheek and chin with cotton wool
5.中等
Which nursing action helps most to prevent and manage delirium in an older inpatient?
- AMove the patient to a different room each day for variety
- BUse glasses and hearing aids and reorient the patient often
- CRestrain the patient so that they do not wander off the ward
- DKeep the lights on all night so the patient can see clearly
6.中等
A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?
- AIt has no effect on these drugs
- BAvoid it, because it can raise the drug levels
- CDrink it with each dose to improve the absorption
- DDrink it daily to protect the kidney
7.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"I will put her on her side and call an ambulance straight away."
- D"When she can swallow, I will give her a snack."
8.困难
The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?
- AA migraine triggered by stress
- BPost-dural puncture headache
- CA subarachnoid haemorrhage
- DBacterial meningitis from the procedure
答案
- 1. C · To reduce swelling around the tumour
- 2. B · Adrenaline and noradrenaline
- 3. B · They may not feel an injury, so it can go unnoticed
- 4. C · Ask them to raise the eyebrows, shut the eyes tightly and smile
- 5. B · Use glasses and hearing aids and reorient the patient often
- 6. B · Avoid it, because it can raise the drug levels
- 7. B · "If she is unconscious, I will pour juice into her mouth."
- 8. B · Post-dural puncture headache
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