临床护理练习卷（附答案）

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. CWeight loss, sunken eyes and a dry mouth
4. DDry mouth, thirst, dark urine and a rapid weak pulse

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用肥皂和水洗手
3. C如果戴了手套就不需要手卫生
4. D用纸巾擦手

Which sign is typical of right-sided heart failure?

1. ACrackles in both lungs and pink frothy sputum
2. BA high fever with rigors
3. CSwollen ankles and a raised jugular venous pressure
4. DPinpoint pupils, drowsiness and a slow breathing rate

一名服用地高辛的患者出现恶心，脉搏 48 次/分，并说看什么都是黄色的。你应怀疑什么？

1. A无须处理的正常副作用
2. B甲状腺功能亢进
3. C低血糖
4. D地高辛中毒

一名患者的癫痫发作已持续超过五分钟。这意味着什么？

1. A往口里塞东西以防咬伤舌头
2. B这是正常的，无须治疗
3. C约束四肢以停止抽动
4. D应按癫痫持续状态处理并给予急救药物

一名服用华法林的患者 INR 远高于目标范围并有瘀斑。可能会开哪种药物来逆转其作用？

1. A维生素 K
2. B硫酸鱼精蛋白
3. C纳洛酮
4. D阿司匹林

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. ANeuroleptic malignant syndrome from antipsychotics
2. BA normal response to surgery
3. CPostoperative infection
4. DMalignant hyperthermia

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AThe patient's weight from last year
2. BThe patient's cholesterol level from the admission bloods
3. CThat the catheter and tubing are not kinked or blocked
4. DWhether the patient has eaten breakfast