1.简单
Mesothelioma of the pleura is strongly linked with exposure to which substance?
- ACoal dust
- BPollen
- CWood smoke
- DAsbestos
2.简单
Which three symptoms are classic in severe aortic stenosis?
- ACalf pain, leg swelling and redness of one leg
- BFever, painful swollen joints and a spreading skin rash
- CExertional chest pain, fainting and breathlessness
- DWheeze, cough and clear sputum
3.简单
Which organism is the most common bacterial cause of community-acquired pneumonia?
- AEscherichia coli
- BClostridioides difficile
- CCandida albicans
- DStreptococcus pneumoniae
4.中等
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ARemove the cannula, document and monitor the site
- BFlush the cannula hard to clear it
- CCover the site and keep using it until it blocks
- DLeave it in place, as this is normal after 24 hours
5.中等
为什么缺血性心脏病患者不应突然停用 β 受体阻滞剂?
- A突然停药会引起严重而持久的低血糖
- B反跳性心动过速和高血压可诱发心绞痛或心肌梗死
- C药物会在组织中储存数月
- D停药后心率会永久性变慢
6.中等
A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?
- AThe patient sitting upright in a chair
- BCold hands with poor peripheral circulation
- CThe patient having eaten recently
- DA regular heart rate of 75 beats per minute
7.困难
A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?
- AA patient with a DVT whose leg is less swollen today
- BA patient after a PCI asking for a cup of tea
- CA patient with heart failure who is newly confused, with SpO₂ 89%
- DA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him
8.困难
The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?
- AFailure to sense
- BFailure to capture
- CAtrial fibrillation
- DNormal pacemaker function
答案
- 1. D · Asbestos
- 2. C · Exertional chest pain, fainting and breathlessness
- 3. D · Streptococcus pneumoniae
- 4. A · Remove the cannula, document and monitor the site
- 5. B · 反跳性心动过速和高血压可诱发心绞痛或心肌梗死
- 6. B · Cold hands with poor peripheral circulation
- 7. C · A patient with heart failure who is newly confused, with SpO₂ 89%
- 8. B · Failure to capture
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