1.简单
What does the term "dyspnoea" mean?
- ABreathing that is deeper than normal
- BA complete stop in breathing lasting over 10 seconds
- CThe feeling of difficult or uncomfortable breathing
- DA breathing rate above 20 breaths per minute at rest
2.简单
What is the normal range for arterial blood pH?
- A7.50–7.65
- B6.80–7.00
- C7.35–7.45
- D7.00–7.20
3.简单
疑似肺炎时,痰培养标本最好在何时采集?
- A抗生素治疗三天后
- B仅在一周后没有好转时
- C在首剂抗生素之前,但不延误用药
- D任何时候都可以,因为抗生素不影响培养
4.中等
How should a patient breathe in when using a dry powder inhaler?
- ASeveral times, breathing out into the device between breaths
- BThrough the nose with the mouthpiece in the mouth
- CSlowly and gently over about ten seconds
- DQuickly and deeply, after breathing out away from the device
5.中等
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass III
- BClass IV
- CClass I
- DClass II
6.中等
关于阿哌沙班和利伐沙班等直接口服抗凝药,下列哪项说法正确?
- A需要像华法林一样每周检测 INR
- B无需常规检测 INR,但剂量取决于肾功能
- C漏服无关紧要,因为它们的作用可持续数周
- D给予维生素 K 可逆转其作用
7.困难
一名昨天开始服用 ACE 抑制剂的患者出现嘴唇和舌头肿胀以及声音嘶哑。护士首先应做什么?
- A提前给下一剂药,这样肿胀会很快消退
- B解释这是预期的、无害的副作用
- C在嘴唇上敷冰,明早再评估
- D评估气道,呼叫紧急援助,并暂停后续剂量
8.困难
A nurse phones the doctor about a patient with pneumonia whose observations are worsening. Using SBAR, which statement is the clearest "recommendation"?
- A"He is 72 and was admitted yesterday with community-acquired pneumonia."
- B"I am calling about the patient in bed 6."
- C"His heart rate is 124/min, his BP is 88/50 mmHg and he is confused."
- D"I think he may have sepsis; please review him within 30 minutes."
答案
- 1. C · The feeling of difficult or uncomfortable breathing
- 2. C · 7.35–7.45
- 3. C · 在首剂抗生素之前,但不延误用药
- 4. D · Quickly and deeply, after breathing out away from the device
- 5. A · Class III
- 6. B · 无需常规检测 INR,但剂量取决于肾功能
- 7. D · 评估气道,呼叫紧急援助,并暂停后续剂量
- 8. D · "I think he may have sepsis; please review him within 30 minutes."
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