1.简单
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AOnly the pharmacist
- BOnly the prescriber
- CThe nurse who gives it
- DThe nurse manager on duty
2.简单
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt can be misread as “IV” or as the number 10
- BIt refers only to insulin units
- CIt means “inpatient use” in many hospitals
- DIt is only allowed in pediatric orders
3.简单
Which precautions are used for a patient with mumps?
- AContact precautions only
- BDroplet precautions
- CStandard precautions only
- DAirborne precautions
4.中等
Which technique is used for suctioning a tracheostomy in hospital?
- AClean technique, reusing the catheter during the shift
- BSterile technique, with a sterile catheter and sterile glove
- CNo gloves at all, because the airway already contains bacteria
- DClean technique, with the catheter rinsed in tap water
5.中等
A patient with a fentanyl skin patch wants to use a heating pad on the area. What should the nurse teach?
- AHeat only matters if the patch is on the chest
- BHeat is fine to use, because it helps the patch stick better to the skin
- CHeat makes the patch last longer, so fewer patches are needed each month
- DAvoid heat on or near the patch, because it increases how fast the drug is absorbed
6.中等
How are neuromuscular blocking drugs, such as vecuronium, safely stored?
- ANext to common IV antibiotics so they are easy to find
- BMixed in the same bin as other high-use drugs
- CSeparate from other drugs, with a warning that they cause paralysis
- DIn the general stock cupboard with the other IV drugs and no special labels
7.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 wash my hands with soap before I touch or change the dressing.”
- B“I will keep the dressing clean and dry as I was shown.”
- C“I will call the clinic if I get a fever or more pain around the wound.”
- D“If the wound gets red and drains pus, I will wait for my appointment next month.”
8.困难
Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?
- ATo find out quickly why the fall happened and change the care plan to prevent another
- BTo decide which staff member was to blame for the fall
- CTo complete the patient’s discharge paperwork
- DTo agree on what the team will tell the patient’s lawyer and the family
答案
- 1. C · The nurse who gives it
- 2. A · It can be misread as “IV” or as the number 10
- 3. B · Droplet precautions
- 4. B · Sterile technique, with a sterile catheter and sterile glove
- 5. D · Avoid heat on or near the patch, because it increases how fast the drug is absorbed
- 6. C · Separate from other drugs, with a warning that they cause paralysis
- 7. D · “If the wound gets red and drains pus, I will wait for my appointment next month.”
- 8. A · To find out quickly why the fall happened and change the care plan to prevent another
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