临床护理练习卷（附答案）

在临床交接班中，SBAR 代表什么？

1. A概要、床旁、行动、复核
2. B安全、呼吸、警觉、风险
3. C现状、背景、评估、建议
4. D症状、血压、气道、呼吸频率

预防卧床患者发生压力性损伤最重要的措施是什么？

1. A限制液体摄入
2. B让患者全天保持同一体位
3. C定时翻身以减轻压力
4. D用力按摩发红区域

The term "dyspnoea" means:

1. ANoisy breathing during sleep
2. BBreathlessness
3. CA cough with sputum
4. DChest pain on breathing

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is intact, and apply pressure until bleeding stops
2. BThat the patient's blood glucose is normal before removal
3. CThat the site is left uncovered and bleeding freely
4. DThat the cannula is put back in its sterile packet for the next patient

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. ABiliary colic
2. BAppendicitis
3. CDiverticulitis
4. DGastric ulcer

Which examination findings suggest a large pleural effusion on one side?

1. ADull percussion and reduced breath sounds over the lung base
2. BNormal breath sounds and normal percussion
3. CA hyper-resonant chest with the trachea pulled towards that side
4. DWheeze heard over both lungs

A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?

1. ATension headache
2. BSubarachnoid haemorrhage
3. CSinusitis
4. DMigraine with aura in a known migraine sufferer

一名烧伤面积达体表面积 30% 的患者入院。在最初 24 小时内，最令人担心的早期并发症是什么？

1. A便秘
2. B瘢痕和挛缩
3. C长期不能活动引起的压力性损伤
4. D体液丢失引起的低血容量性休克