临床护理练习卷（附答案）

对能交流的成人，常用哪种疼痛评分？

1. AApgar 评分
2. B0–10 数字评分法
3. CBraden 压力性损伤量表
4. D格拉斯哥昏迷评分

Which of these is an open question?

1. A"How are you feeling about your operation?"
2. B"Did you sleep well in the ward last night?"
3. C"Have you taken your tablets?"
4. D"Are you in any pain at the moment?"

The term "haematuria" means:

1. ABlood in the vomit
2. BBlood in the urine
3. CBlood in the stool
4. DBlood in the sputum

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DRespiratory acidosis

一名车祸后的患者严重气短，一侧呼吸音消失，血压低，气管偏向对侧。可能的诊断是什么？

1. A哮喘
2. B肺水肿
3. C张力性气胸
4. D肺炎

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AFlush the cannula hard with saline
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CStop the infusion straight away and follow the extravasation protocol
4. DApply a warm pack and continue the infusion

Which patient should the nurse assess first?

1. AA patient with asthma who can only speak in single words
2. BA patient with COPD whose SpO₂ is 89% and within their target range
3. CA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
4. DA postoperative patient who rates their pain as 6/10

一名临终患者意识不清，咽喉部分泌物引起嘈杂的咕噜样呼吸声。哪种处理是恰当的？

1. A调整体位，考虑使用已开具的抗分泌药物，并支持家属
2. B整夜每 10 分钟进行一次深部口咽吸引
3. C告诉家属患者正在窒息，需要机械通气
4. D开始快速静脉补液，以稀释和清除分泌物