临床护理练习卷（附答案）

哪项体征提示静脉留置针部位发生了静脉炎？

1. A患者口渴
2. B沿静脉走行发红、疼痛和肿胀
3. C皮肤正常且无痛
4. D远离穿刺部位的皮肤苍白发凉

Shingles (herpes zoster) is caused by:

1. AA bacterial skin infection
2. BReactivation of the chickenpox virus
3. CAn allergy to medicines
4. DA fungal infection of the nerves

Which group of findings suggests fluid overload?

1. ASwollen ankles, breathlessness, lung crackles and weight gain
2. BLow jugular venous pressure and cool skin
3. CDry mouth, thirst, dark urine and a rapid weak pulse
4. DWeight loss, sunken eyes and a dry mouth

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AFrequent mouth care that keeps the lips and mouth moist
2. BStarting a fast intravenous infusion to correct the dryness
3. CInserting a nasogastric tube for fluids
4. DLeaving the mouth alone to avoid disturbing them

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ACalcium
2. BUrea (blood urea nitrogen)
3. CGlucose
4. DSodium

Which technique is correct when suctioning through a tracheostomy?

1. AApply suction continuously while inserting the catheter as far as it will go
2. BSuction every 15 minutes whether or not secretions are present
3. CKeep suctioning for at least a minute each time to clear all the secretions
4. DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds

一名使用抗凝药的患者跌倒并撞到头部，但看起来情况良好。正确的做法是什么？

1. A不做处理，因为患者看起来情况良好
2. B鼓励患者睡觉且不做观察
3. C安排医生评估并很可能行 CT 检查，同时进行神经系统观察
4. D额外给一剂抗凝药

A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?

1. AA stroke
2. BAnaphylaxis
3. CVasovagal syncope
4. DA hypoglycaemic coma