1.简单
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AIncrease the number of daily blood tests
- BReduce the cost of hospital meals and supplies
- CImprove the accuracy of patient identification
- DShorten visiting hours on every ward
2.简单
What is seclusion?
- AMoving a patient to a private room at their request
- BPlacing a patient on contact precautions in a single room with the door closed
- CKeeping a patient alone in a room or area that they are prevented from leaving
- DClosing the curtains during personal care
3.简单
To prevent scald burns at home, what is a commonly recommended maximum temperature for hot water coming out of the tap?
- A49 °C (120 °F)
- B60 °C (140 °F)
- C66 °C (150 °F)
- D71 °C (160 °F)
4.中等
Why are blood cultures usually taken from two separate venipuncture sites?
- ABecause each site tests a different antibiotic
- BTo help tell a true infection from skin contamination
- CTo make the results come back faster from the laboratory
- DTo reduce the total amount of blood taken
5.中等
Before a blood transfusion is started, which check is required?
- AThe patient signs the blood bag label to confirm their name before it is hung
- BThe nurse checks only that the bag number matches the order
- CThe patient’s identity is checked against the blood product and its paperwork at the bedside
- DOne nurse checks the blood product against the order at the nurses’ station
6.中等
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- AGive it slowly by IV push over two minutes while watching the cardiac monitor
- BNot give it, and contact the prescriber, because it is never given by IV push
- CDilute it in a small syringe and push it
- DGive half by IV push and the rest later
7.困难
A nurse discovers that an insulin infusion was programmed using the wrong drug concentration in the pump library. What should the nurse do first?
- AStop the infusion and check the patient’s blood glucose
- BDouble the rate to correct for the error
- CReprogram the pump and finish the shift before reporting
- DLeave it running and check the glucose at the next routine time
8.困难
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AGive written instructions in English only
- BUse simple English and many hand gestures
- CUse a professional medical interpreter
- DLet the child interpret, because the family prefers it
答案
- 1. C · Improve the accuracy of patient identification
- 2. C · Keeping a patient alone in a room or area that they are prevented from leaving
- 3. A · 49 °C (120 °F)
- 4. B · To help tell a true infection from skin contamination
- 5. C · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 6. B · Not give it, and contact the prescriber, because it is never given by IV push
- 7. A · Stop the infusion and check the patient’s blood glucose
- 8. C · Use a professional medical interpreter
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