1.简单
How is the length of a nasogastric tube usually estimated before insertion?
- AAny length, as long as the whole tube is inserted
- BFrom the mouth to the knee on the same side of the body
- CFrom the nose tip to the earlobe, then to the xiphisternum
- DFrom the chin to the umbilicus in a straight line
2.简单
What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?
- ASharp pain in the right shoulder after meals
- BCramping pain low in the left side of the abdomen
- CBurning pain behind the breastbone (heartburn)
- DPainless yellowing of the skin and eyes
3.简单
Which bedside test is commonly used to check for postoperative urinary retention?
- AA bladder ultrasound scan
- BA 12-lead ECG
- CA chest X-ray
- DA blood glucose test
4.中等
Why are urinary catheters removed as early as possible after surgery?
- ABecause catheters always cause kidney stones
- BBecause patients cannot drink normally while a catheter is in place
- CTo reduce the risk of catheter-associated infection
- DBecause the catheter stops the bowel working
5.中等
Which liver function test pattern suggests bile duct obstruction?
- AVery high ALT with a normal bilirubin only
- BNormal bilirubin with a low ALP and low GGT
- CHigh bilirubin with a markedly raised ALP and GGT
- DA low albumin with all other results normal
6.中等
Which rule about the sterile field is correct?
- AThe area below a gowned person's waist is sterile
- BIf sterility is in doubt, the item is treated as contaminated
- CSterile items can be passed across a non-sterile area freely
- DA sterile pack stays sterile even when it is wet
7.困难
腹部手术后第 6 天,一名患者说咳嗽时有东西“裂开了”,并且伤口处可见肠管。护士应立即做什么?
- A用生理盐水浸湿的无菌敷料覆盖,屈膝,呼叫外科医生
- B在等待团队时给患者吃点轻食以使其平静
- C轻轻把肠管推回去,用胶带把伤口边缘牢牢粘在一起
- D不覆盖伤口,让患者在床上完全坐直
8.困难
A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?
- AReport it, as the regular background dose may need review
- BTell the patient to put up with the pain between doses
- CGive all breakthrough doses at the same time
- DStop the breakthrough doses to reduce opioid use
答案
- 1. C · From the nose tip to the earlobe, then to the xiphisternum
- 2. C · Burning pain behind the breastbone (heartburn)
- 3. A · A bladder ultrasound scan
- 4. C · To reduce the risk of catheter-associated infection
- 5. C · High bilirubin with a markedly raised ALP and GGT
- 6. B · If sterility is in doubt, the item is treated as contaminated
- 7. A · 用生理盐水浸湿的无菌敷料覆盖,屈膝,呼叫外科医生
- 8. A · Report it, as the regular background dose may need review
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