临床护理练习卷（附答案）

"咖啡渣样"呕吐物提示：

1. A结肠下段的肠梗阻
2. B伴呕吐但无任何出血的食物中毒
3. C上消化道出血
4. D肾衰竭

预防卧床患者发生压力性损伤最重要的措施是什么？

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

护理 Clostridioides difficile（艰难梭菌）腹泻患者后，需要采用哪种手卫生方法？

1. A只用含酒精的手消毒剂
2. B用纸巾擦手
3. C用肥皂和水洗手
4. D如果戴了手套就不需要手卫生

What should a patient starting oral iron tablets be told?

1. ATheir stools may turn dark or black
2. BThe tablets will cause weight loss
3. CTheir urine will turn bright green
4. DThey must take the tablets with strong tea

A nurse gives a patient analgesia for post-operative pain. What should be done next?

1. AWait until the next shift before asking the patient about the pain
2. BReassess the pain and any side effects once the drug has had time to work
3. CAssume the pain has gone if the patient is quiet and has their eyes closed
4. DGive a second analgesic straight away just in case

Why is lactulose given to a patient with hepatic encephalopathy?

1. ATo increase the liver's production of albumin
2. BTo stop bleeding from varices
3. CTo reduce the absorption of ammonia from the gut
4. DTo lower the blood glucose

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

1. ARecovery from the colitis
2. BCoeliac disease
3. CConstipation from dehydration
4. DToxic megacolon

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AMusculoskeletal back pain
2. BRenal colic from a kidney stone
3. CA ruptured abdominal aortic aneurysm
4. DAcute gastritis from anti-inflammatory drugs