1.简单
Which blood group is the universal donor for red blood cells in an emergency?
- AGroup A, Rh negative
- BGroup B, Rh positive
- CGroup AB, Rh positive
- DGroup O, Rh negative
2.简单
A raised lymphocyte count is most typical of:
- AViral infections
- BIron deficiency
- CAllergic asthma
- DBacterial abscesses
3.简单
At what time of day is serum cortisol normally highest?
- AAround midnight
- BLate afternoon
- CEarly morning
- DAfter the evening meal
4.中等
一名服用地高辛的患者血药水平为 2.8 ng/mL,心率 52 次/分。护士最好的措施是什么?
- A给予双倍剂量以纠正心律
- B暂停该剂量并通知开医嘱者
- C给药,因为心率高于 50 次/分
- D给药,一个月后复查血药水平
5.中等
静脉注射葡萄糖酸钙如何帮助重度高钾血症患者?
- A增加肾脏对钾的排泄
- B稳定心肌细胞膜,但不降低钾
- C使钾从血液转移到细胞内
- D在肠道中结合钾,使其随粪便排出
6.中等
哪一组表现符合高钙血症?
- A仅有口渴和非常稀的尿液
- B仅有 T 波高尖和肌无力
- C手足搐搦、肌肉痉挛和 Chvostek 征阳性
- D便秘、疲劳、意识模糊和肾结石
7.困难
Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?
- AAssess neurological status and report it at once as possible brain bleeding
- BEncourage the patient to drink more fluids and check the blood pressure later
- CDim the lights and encourage rest, as headaches are common after chemotherapy
- DGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
8.困难
A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?
- AAssume the meter is broken and give the usual insulin dose
- BRecord "HI" and repeat the meter test at the next scheduled time
- CGive oral glucose in case the reading is wrong and the patient is low
- DSend a venous sample to the lab and inform the provider at once
答案
- 1. D · Group O, Rh negative
- 2. A · Viral infections
- 3. C · Early morning
- 4. B · 暂停该剂量并通知开医嘱者
- 5. B · 稳定心肌细胞膜,但不降低钾
- 6. D · 便秘、疲劳、意识模糊和肾结石
- 7. A · Assess neurological status and report it at once as possible brain bleeding
- 8. D · Send a venous sample to the lab and inform the provider at once
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