1.简单
What is a “never event”?
- AA rare side effect of a drug that has never been described in the literature before
- BAn event that has never been reported before
- CAn event that only happens at night
- DA serious, preventable event that should never happen, such as wrong-site surgery
2.简单
What is respiratory hygiene, or cough etiquette?
- ACoughing into the hands, then wiping them on clothing
- BCovering coughs with a tissue or the elbow, then cleaning the hands
- CWearing an N95 respirator at all times whenever you have a cough
- DTaking an antibiotic at the first sign of a cough
3.简单
Which of these counts as a physical restraint?
- ARaising all four side rails to stop a patient from getting out of bed
- BPlacing the bed in its lowest position
- CUsing a bed exit alarm for a patient at high risk of falling at night
- DUsing a gait belt while helping a patient walk in the corridor
4.中等
“Tall Man”大写字母标注法(如 hydrOXYzine 和 hydrALAZINE)的目的是什么?
- A表明两种药物中哪一种是高警示药物
- B使外观相似的药名更容易区分
- C表示商品名
- D表示药物的规格
5.中等
A patient has highly contagious viral conjunctivitis. Which teaching is most important?
- AKeep using the same contact lenses to protect the eyes
- BRub the eyes gently to remove the discharge
- CWash hands often and do not share towels, pillows or eye drops
- DWear a surgical mask whenever someone else is in the room
6.中等
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AThe pump will always stop any overdose
- BOnly the patient should press it, because this keeps the system safe
- CPressing it while the patient sleeps prevents the pain from getting worse later
- DFamily can press it as long as they count the presses
7.困难
患者的处方是肼屈嗪(hydralazine),但药房送来的是羟嗪(hydroxyzine)。护士应怎么做?
- A不给药,并联系药房取得正确的药物
- B折中给予羟嗪的半量
- C给药,因为这两个药名几乎相同
- D先给药,之后再告知开医嘱者
8.困难
A patient on contact precautions for MRSA has become withdrawn and says, “Everyone avoids me.” What is the best nursing action?
- AStop the precautions for a few days so the patient feels less isolated and alone
- BExplain why the precautions are needed and plan regular, unhurried time in the room
- CKeep visits short to limit the risk of spreading MRSA
- DAsk the provider for a sedative to help the patient cope
答案
- 1. D · A serious, preventable event that should never happen, such as wrong-site surgery
- 2. B · Covering coughs with a tissue or the elbow, then cleaning the hands
- 3. A · Raising all four side rails to stop a patient from getting out of bed
- 4. B · 使外观相似的药名更容易区分
- 5. C · Wash hands often and do not share towels, pillows or eye drops
- 6. B · Only the patient should press it, because this keeps the system safe
- 7. A · 不给药,并联系药房取得正确的药物
- 8. B · Explain why the precautions are needed and plan regular, unhurried time in the room
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