1.简单
手术开始前的“暂停核查”(time-out)目的是什么?
- A让手术团队在开始手术前短暂休息
- B与整个团队共同确认患者、手术方式和手术部位
- C让患者签署知情同意书
- D在手术结束后清点器械和纱布
2.简单
Why is the symbol “µg” avoided in medication orders?
- AIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- BIt means “units per gram” in some countries
- CIt can be misread as “mg”, giving a dose a thousand times too high
- DIt can only be used for intravenous drugs
3.简单
A blood test shows a positive hepatitis B surface antigen (HBsAg). What does this mean?
- AThe person currently has hepatitis B infection
- BThe person has hepatitis A infection
- CThe person has never been exposed to hepatitis B
- DThe person is immune from vaccination
4.中等
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AA trained sitter or video monitoring with staff nearby
- BA sedative given every few hours as needed
- CA vest restraint applied for the whole night
- DFour side rails raised and the door closed so the patient stays in bed
5.中等
A child has swallowed a button battery. Why is this urgent?
- AIt always passes through the gut without harm
- BThe only risk is poisoning from heavy metals years later
- CIt can burn through the lining of the esophagus within hours
- DIt is only harmful if several batteries are swallowed
6.中等
A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?
- AThe surface is dried with a clean towel right after wiping
- BThe surface is wiped once lightly without pressure
- CThe surface stays wet for the contact time on the product label
- DThe wipe is used on many pumps to save product
7.困难
在为中心静脉导管无菌换药时,一名同事越过打开的无菌区把一卷胶带递给护士。护士应怎么做?
- A继续操作,因为同事没有碰到任何无菌物品
- B将该无菌区视为已污染,重新铺设
- C用无菌巾盖住该区域,并在其上继续操作
- D只移除手臂经过处最近的物品
8.困难
护士的哪项行为表明她遵守了手卫生五个时刻?
- A她只在班次开始和结束时清洁双手
- B她只在手看起来脏时才清洁双手
- C她在两位患者之间戴着同一副手套
- D她在接触床栏之后清洁双手
答案
- 1. B · 与整个团队共同确认患者、手术方式和手术部位
- 2. C · It can be misread as “mg”, giving a dose a thousand times too high
- 3. A · The person currently has hepatitis B infection
- 4. A · A trained sitter or video monitoring with staff nearby
- 5. C · It can burn through the lining of the esophagus within hours
- 6. C · The surface stays wet for the contact time on the product label
- 7. B · 将该无菌区视为已污染,重新铺设
- 8. D · 她在接触床栏之后清洁双手
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