1.简单
护士发现输液泵的电线磨损。护士应怎么做?
- A用电工胶带包住电线并继续使用
- B请患者不要碰电线
- C小心使用到本班结束,然后再上报
- D停止使用该泵,标记为故障并上报
2.简单
In START triage, which casualties are tagged green (minor)?
- AThose who are not breathing after the airway is opened
- BThose who cannot follow simple commands
- CThose who are breathing more than 30 times a minute
- DThose who can walk to a designated area on their own
3.简单
对跌倒高风险患者,床应如何设置?
- A调至最高位
- B始终拉起四侧床栏
- C松开刹车以便快速移动
- D调至最低位并锁定刹车
4.中等
A patient on contact precautions must be taken to another department for a test. What is correct?
- APut the patient in a separate elevator with the doors open
- BCover wounds, give the patient a clean gown and tell the receiving department
- CCancel the test until the precautions are no longer needed, however urgent it is
- DHave the patient wear an N95 respirator during transport
5.中等
A patient is on seizure precautions. Which equipment should be ready at the bedside?
- AWorking suction and oxygen equipment
- BAn ice pack to place on the forehead
- CRestraints ready for all four limbs
- DA tongue blade to put between the teeth
6.中等
How is a urine specimen for culture obtained from an indwelling catheter?
- ABy removing the catheter and sending its tip for culture
- BBy disconnecting the catheter from the drainage tubing
- CFrom the sampling port, after cleaning it, using aseptic technique
- DFrom the urine already collected in the drainage bag at the bedside
7.困难
一名重度痴呆患者夜间独自下床,已经跌倒两次。哪种方案最恰当?
- A每晚给予镇静剂,使患者留在床上
- B拉起四侧床栏,夜间关门保持安静
- C夜间把患者绑在椅子上
- D低位床、床报警器、定时如厕巡视、夜灯和防滑袜
8.困难
A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?
- A“I will keep the dressing clean and dry as I was shown.”
- B“I will wash my hands with soap before I touch or change the dressing.”
- C“If the wound gets red and drains pus, I will wait for my appointment next month.”
- D“I will call the clinic if I get a fever or more pain around the wound.”
答案
- 1. D · 停止使用该泵,标记为故障并上报
- 2. D · Those who can walk to a designated area on their own
- 3. D · 调至最低位并锁定刹车
- 4. B · Cover wounds, give the patient a clean gown and tell the receiving department
- 5. A · Working suction and oxygen equipment
- 6. C · From the sampling port, after cleaning it, using aseptic technique
- 7. D · 低位床、床报警器、定时如厕巡视、夜灯和防滑袜
- 8. C · “If the wound gets red and drains pus, I will wait for my appointment next month.”
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