临床护理练习卷（附答案）

An ileostomy is an opening onto the abdominal wall from the:

1. ABladder
2. BColon (large intestine)
3. CStomach
4. DIleum (small intestine)

On an ECG, what does the P wave represent?

1. AAtrial depolarisation
2. BClosure of the heart valves
3. CVentricular depolarisation
4. DVentricular repolarisation

What does a pulse oximeter measure?

1. AThe partial pressure of carbon dioxide in the blood
2. BThe amount of oxygen dissolved in the plasma
3. CThe percentage of haemoglobin saturated with oxygen
4. DThe concentration of haemoglobin in the blood

What should a nurse do during a generalised tonic-clonic seizure?

1. AHold the limbs firmly to stop the jerking and prevent injury
2. BProtect the head, time the seizure and do not put anything in the mouth
3. CGive the patient a drink of water
4. DPut a tongue depressor between the teeth so that the tongue is not bitten

Which group of features is typical of nephrotic syndrome?

1. ABlood in the urine, high blood pressure and reduced urine output only
2. BSevere loin pain and fever
3. CHeavy proteinuria, low serum albumin and oedema
4. DPolyuria, thirst and weight loss

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AAnywhere on the chest where the skin is clear
2. BIn a straight line down the centre of the sternum from top to bottom
3. COn both shoulders and both hips only
4. DIn standard numbered positions across the front and left of the chest

A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?

1. ADehydration from sweating
2. BHypothermia from the fire service water
3. CAirway swelling from inhalation injury
4. DA minor throat infection

一名术后患者心率 115 次/分，体温 38.6 °C，呼吸 26 次/分，快速补液后血压仍为 85/50 mmHg。这最可能提示什么？

1. A需要危重症团队紧急评估的感染性休克
2. B手术后最初几天的正常炎症反应
3. C对出院的焦虑
4. D仅仅是轻度脱水