1.简单
下列哪项措施属于标准预防?
- A把每位患者都安置在负压病房
- B预计会接触血液或体液时戴手套
- C无论操作内容,每次接触患者都穿隔离衣、戴口罩
- D每次接触患者都戴 N95 呼吸器
2.简单
在 Morse 跌倒量表等跌倒风险评估工具中,得分越高意味着什么?
- A跌倒风险越低
- B跌倒风险越高
- C压力性损伤风险越低
- D活动能力越好
3.简单
疥疮患者需要采取哪种预防措施?
- A无需特殊预防措施
- B飞沫传播预防
- C接触传播预防
- D空气传播预防
4.中等
Why can side rails be dangerous for a confused, restless patient?
- ASide rails make the bed move by itself
- BThe patient may climb over them or get trapped in gaps
- CSide rails always cause pressure injuries
- DSide rails stop staff from reaching the patient in an emergency
5.中等
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AStop hand hygiene until the skin heals
- BUse the hand lotion approved by the facility to keep the skin intact
- CUse any lotion from home, whatever its contents
- DWear gloves all day instead of cleaning the hands between patients
6.中等
A patient has botulism after eating contaminated food. Which precautions are needed?
- AAirborne precautions
- BContact precautions
- CDroplet precautions
- DStandard precautions
7.困难
In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?
- AYellow (delayed)
- BRed (immediate)
- CBlack (expectant or dead)
- DGreen (minor)
8.困难
In a US hospital (CMS rules), a patient keeps pulling at an endotracheal tube, and alternatives have failed. The nurse applies wrist restraints in an emergency. What must happen next?
- AObtain a time-limited order for the restraint promptly, following policy
- BKeep the restraints on without an order until the patient is calm
- CAsk the family to sign a consent form instead of an order
- DAsk the provider for a PRN restraint order to use as needed
答案
- 1. B · 预计会接触血液或体液时戴手套
- 2. B · 跌倒风险越高
- 3. C · 接触传播预防
- 4. B · The patient may climb over them or get trapped in gaps
- 5. B · Use the hand lotion approved by the facility to keep the skin intact
- 6. D · Standard precautions
- 7. A · Yellow (delayed)
- 8. A · Obtain a time-limited order for the restraint promptly, following policy
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