1.简单
What is the main safety purpose of needleless IV connectors?
- ATo reduce needlestick injuries to staff
- BTo make IV fluids flow faster
- CTo remove the need for hand hygiene
- DTo stop the patient from moving the IV line
2.简单
锐器盒应在什么时候更换?
- A只有完全装满到顶时
- B达到填充线时,约为四分之三满
- C只有锐器开始从顶部开口露出时
- D每月一次,无论是否装满
3.简单
下列哪种药物属于高警示药物?
- A对乙酰氨基酚(扑热息痛)片
- B胰岛素
- C复合维生素片
- D乳果糖糖浆
4.中等
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarmth sterilizes the surgical site
- CCold makes bacteria grow faster in the operating room air and on the drapes
- DWarm patients do not need antibiotic prophylaxis
5.中等
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids make the patient’s blood more acidic, which helps bacteria grow
- BSteroids kill the patient’s normal skin bacteria
- CSteroids only affect the risk of fungal skin rashes
- DSteroids suppress the immune response and can hide signs of infection
6.中等
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AUse any lotion from home, whatever its contents
- BWear gloves all day instead of cleaning the hands between patients
- CStop hand hygiene until the skin heals
- DUse the hand lotion approved by the facility to keep the skin intact
7.困难
A nurse teaches parents of a toddler about drowning prevention. Which statement shows a need for further teaching?
- A“I stay within arm’s reach of my child whenever we are near any water.”
- B“We keep the gate in the pool fence closed and locked at all times.”
- C“I empty buckets of water as soon as I have used them.”
- D“I can leave my 2-year-old in the bath for a minute if the water is shallow.”
8.困难
Which patient with a suspected infection meets the qSOFA criteria that signal a higher risk of a poor outcome?
- ARespiratory rate 18/min, alert, systolic BP 130 mmHg, temperature 38.5 °C
- BRespiratory rate 16/min, alert, systolic BP 105 mmHg, WBC 13,000/mm3
- CRespiratory rate 24/min, new confusion, systolic BP 95 mmHg
- DRespiratory rate 20/min, alert, systolic BP 110 mmHg, heart rate 110/min
答案
- 1. A · To reduce needlestick injuries to staff
- 2. B · 达到填充线时,约为四分之三满
- 3. B · 胰岛素
- 4. A · Low body temperature reduces blood flow and immune function in the wound
- 5. D · Steroids suppress the immune response and can hide signs of infection
- 6. D · Use the hand lotion approved by the facility to keep the skin intact
- 7. D · “I can leave my 2-year-old in the bath for a minute if the water is shallow.”
- 8. C · Respiratory rate 24/min, new confusion, systolic BP 95 mmHg
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