1.简单
Which type of knot is used to secure the straps of a restraint?
- AA tight double knot
- BA quick-release knot
- CA square knot
- DA knot tied on the patient’s wrist
2.简单
How should a nurse clean a stethoscope between patients?
- AClean it once a week, unless it is visibly dirty
- BWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- CSend it to be sterilized in an autoclave after every single patient contact
- DRinse it under running water and dry it on a towel
3.简单
Why are patients usually kept nil by mouth (NPO) for a period before general anesthesia?
- ATo reduce the risk of aspirating stomach contents
- BTo lower the risk of a wound infection
- CTo prevent the patient from needing the toilet
- DTo make the patient lose weight before surgery
4.中等
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- ALet it dry fully and do not touch the site again
- BBlow on the site so it dries faster
- CFeel for the vein again with an ungloved finger
- DWipe it off with a dry gauze straight away
5.中等
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the urine already collected in the drainage bag at the bedside
- BFrom the sampling port, after cleaning it, using aseptic technique
- CBy disconnecting the catheter from the drainage tubing
- DBy removing the catheter and sending its tip for culture
6.中等
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AA sedative given every few hours as needed
- BA trained sitter or video monitoring with staff nearby
- CFour side rails raised and the door closed so the patient stays in bed
- DA vest restraint applied for the whole night
7.困难
一名患有唇疱疹(herpes labialis)的护士被分配到新生儿室。最恰当的做法是什么?
- A不告诉任何人,上班时用化妆品遮住皮损
- B戴上手套,照常工作
- C告知主管,主管可能暂时调整其工作安排
- D照常工作,因为唇疱疹很常见
8.困难
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt is too weak to help an older person sleep
- BIt is only available as an IV drug and cannot be given by mouth at bedtime
- CIt raises blood pressure in most older adults
- DIt is strongly anticholinergic and can cause confusion and falls in older adults
答案
- 1. B · A quick-release knot
- 2. B · Wipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- 3. A · To reduce the risk of aspirating stomach contents
- 4. A · Let it dry fully and do not touch the site again
- 5. B · From the sampling port, after cleaning it, using aseptic technique
- 6. B · A trained sitter or video monitoring with staff nearby
- 7. C · 告知主管,主管可能暂时调整其工作安排
- 8. D · It is strongly anticholinergic and can cause confusion and falls in older adults
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