1.简单
What does the abbreviation MRSA stand for?
- AMultidrug-resistant Streptococcus agalactiae
- BMultiply-resistant Salmonella agent
- CMethicillin-resistant Staphylococcus aureus
- DMethicillin-reactive Staphylococcus albus
2.简单
对跌倒高风险患者,床应如何设置?
- A始终拉起四侧床栏
- B调至最高位
- C调至最低位并锁定刹车
- D松开刹车以便快速移动
3.简单
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AStandard precautions
- BAirborne precautions
- CDroplet precautions
- DContact precautions
4.中等
下列哪种使用药瓶和注射器的做法是安全的?
- A每次穿刺药瓶时都使用新的无菌针头和注射器
- B注射器冲洗后用于两名患者
- C把针头留在药瓶瓶塞上以备后用
- D换上新针头后重复使用注射器
5.中等
对于感染 Neisseria meningitidis 的患者,飞沫传播预防通常应在何时停止?
- A退热一小时后
- B有效抗生素治疗 24 小时后
- C给予第一剂抗生素后立即停止
- D仅在患者出院后
6.中等
A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?
- ATurn the patient on their side and protect them from injury without restraining
- BGive sips of water to keep the airway moist
- CHold the arms and legs firmly to stop the movements
- DPut a padded tongue blade between the teeth to protect the tongue from biting
7.困难
A nurse has a needlestick from a patient whose HIV and hepatitis status is unknown. What should happen?
- ANothing, because the source patient is probably not infected
- BThe nurse waits six months before having any blood tests at all
- CThe nurse is assumed to be infected and stops all work
- DThe source patient is tested per policy, and the nurse has baseline tests
8.困难
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- AAt-risk behavior, managed by coaching and fixing the system pressures behind it
- BAcceptable behavior, because it is common on the unit
- CSimple human error, managed only by consoling the nurse and moving on
- DReckless behavior, managed by immediate dismissal and reporting to the licensing board
答案
- 1. C · Methicillin-resistant Staphylococcus aureus
- 2. C · 调至最低位并锁定刹车
- 3. A · Standard precautions
- 4. A · 每次穿刺药瓶时都使用新的无菌针头和注射器
- 5. B · 有效抗生素治疗 24 小时后
- 6. A · Turn the patient on their side and protect them from injury without restraining
- 7. D · The source patient is tested per policy, and the nurse has baseline tests
- 8. A · At-risk behavior, managed by coaching and fixing the system pressures behind it
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