1.简单
Which description best fits asthma?
- APermanent destruction of the alveolar walls caused by smoking
- BAirway inflammation with variable, reversible airflow obstruction
- CA bacterial infection of the alveoli
- DScarring of the lung tissue that makes the lungs stiff and small
2.简单
In hospital, how is oxygen therapy treated?
- AAs a treatment that patients adjust themselves
- BAs a treatment kept only for patients who are near the end of life
- CAs a comfort measure that needs no prescription or monitoring
- DAs a medicine that needs a prescription with a target range
3.简单
What is the normal resting heart rate range for an adult?
- A100–140 beats per minute
- B40–60 beats per minute
- C30–50 beats per minute
- D60–100 beats per minute
4.中等
哪一组副作用是噻嗪类或吲达帕胺等类噻嗪利尿剂的典型副作用?
- A低钾、低钠、尿酸升高和血糖升高
- B高钠、高镁,血糖降低
- C高钾、高钠、尿酸降低和血糖降低
- D干咳、味觉障碍和嘴唇肿胀
5.中等
A patient on nasal cannula oxygen breathes mainly through the mouth. What is the most accurate statement?
- AThe cannula should be placed in the mouth
- BIt can still work, because oxygen collects in the nasopharynx
- CThe flow must be increased to 15 L/min to make it work at all
- DIt has no effect at all in mouth breathers and must be stopped
6.中等
What is the main difference between CPAP and bilevel NIV (often called BiPAP)?
- ACPAP is mainly used to lower a raised PaCO₂ in COPD exacerbations
- BBilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- CCPAP is given only through a tracheostomy
- DBilevel NIV gives oxygen only, without any positive airway pressure
7.困难
一名胸痛患者的 II、III 和 aVF 导联 ST 段抬高。血压 86/54 mmHg,肺部清晰,颈静脉怒张。护士应对哪种处方药提出疑问?
- A舌下含服硝酸甘油(glyceryl trinitrate)
- BSpO₂ 低于目标值时给氧
- C静脉止吐药
- D嚼服阿司匹林 300 mg
8.困难
Thirty minutes after extubation, a patient develops a high-pitched noise on breathing in and is anxious. SpO₂ is falling. What should the nurse do?
- AGive a large drink of cold water to soothe the throat and settle it
- BEncourage the patient to sleep it off and recheck them in an hour
- CLay the patient flat and reassure them
- DSit the patient up, give oxygen and call for urgent airway help
答案
- 1. B · Airway inflammation with variable, reversible airflow obstruction
- 2. D · As a medicine that needs a prescription with a target range
- 3. D · 60–100 beats per minute
- 4. A · 低钾、低钠、尿酸升高和血糖升高
- 5. B · It can still work, because oxygen collects in the nasopharynx
- 6. B · Bilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- 7. A · 舌下含服硝酸甘油(glyceryl trinitrate)
- 8. D · Sit the patient up, give oxygen and call for urgent airway help
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