1.简单
Which three things does START triage check in a non-walking adult?
- APulse, blood pressure and body temperature
- BPain score, mobility and age
- CAirway, blood glucose and pupils
- DRespirations, perfusion and mental status
2.简单
在急诊严重程度指数(ESI)中,1 级表示什么?
- A是最不紧急的患者
- B足够稳定,可在快速通道区就诊
- C需要立即挽救生命的干预
- D需要两种或更多资源
3.简单
Which adult blood glucose result needs treatment straight away?
- A52 mg/dL (2.9 mmol/L) with sweating and shakiness
- B98 mg/dL (5.4 mmol/L) before breakfast
- C130 mg/dL (7.2 mmol/L) two hours after a large lunch
- D110 mg/dL (6.1 mmol/L) after a snack
4.中等
Which postoperative patient should the nurse see first?
- AAsking when the urinary catheter will be removed
- BPain of 4/10 one hour after an oral analgesic
- CDressing soaked with bright red blood and a heart rate rising to 118/min
- DWants help with washing her hair before her visitors arrive this afternoon
5.中等
在 START 分诊中,一名不能行走的成人每分钟呼吸 22 次,有桡动脉搏动,能遵从简单指令,但有明显的腿部骨折。该伤员被归入哪一类?
- A绿色(轻伤)
- B黑色(期待观察)
- C黄色(延迟)
- D红色(立即)
6.中等
A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?
- AGet the patient some carbohydrate food now and check the glucose
- BTell the patient to wait and do nothing until the tray comes
- CAsk the patient to walk around the ward until the food arrives
- DGive a second, smaller dose of insulin when the meal tray finally arrives
7.困难
An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?
- AAsk the relative directly in front of the patient whether they hit her
- BTell the patient she must leave home and go to live somewhere else
- CIgnore it, because older people bruise easily
- DEnsure the patient’s safety, document the findings and report as required
8.困难
A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?
- AThat the child is passing urine
- BThat the child’s temperature is normal
- CThat the child is hungry
- DThat the child can walk without help
答案
- 1. D · Respirations, perfusion and mental status
- 2. C · 需要立即挽救生命的干预
- 3. A · 52 mg/dL (2.9 mmol/L) with sweating and shakiness
- 4. C · Dressing soaked with bright red blood and a heart rate rising to 118/min
- 5. C · 黄色(延迟)
- 6. A · Get the patient some carbohydrate food now and check the glucose
- 7. D · Ensure the patient’s safety, document the findings and report as required
- 8. A · That the child is passing urine
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