1.简单
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AA routine handover between shifts
- BA minor error that was noticed but caused no harm at all
- CA planned admission to intensive care
- DAn unexpected event that causes death or serious harm
2.简单
When a nurse receives a critical lab result by phone, what does “read-back” mean?
- AWaiting for the written report before doing anything
- BReading the result aloud to the patient straight away
- CRepeating the result back to the caller to confirm it
- DReading the result to the next shift at handover
3.简单
在委派中,“正确的指示与沟通”是什么意思?
- A清晰、具体的指示:做什么、何时做,以及报告什么
- B要求被委派者在班次结束时报告任何异常发现
- C只把任务写在患者的病历中
- D告诉被委派者运用他们自己的判断
4.中等
The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?
- AEncourage deep breaths into a paper bag until it passes
- BReassure the patient that this is normal after neck surgery
- CGive the patient’s routine oral iron supplement early
- DCheck for signs of low calcium and inform the provider
5.中等
On a pediatric unit, which child does the nurse assess first?
- AA child in a new arm cast with pink, warm fingers and pain of 5/10
- BA child with asthma who is now quiet with very little air movement
- CA child with croup who has a barking cough but no stridor at rest
- DA child with a temperature of 38.2 °C after vaccination
6.中等
A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?
- AGive the next dose of lisinopril with water
- BApply a cold pack and recheck in an hour
- CTell the patient this is a common, harmless effect
- DAssess the airway and call for urgent help
7.困难
An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?
- AStress-induced mild hyperglycemia
- BHyperosmolar hyperglycemic state
- CHypoglycemia with rebound
- DDiabetic ketoacidosis
8.困难
Which nursing approach may raise intracranial pressure in a patient with a head injury?
- ASpacing out care with rest periods in between activities
- BKeeping the room calm and quiet
- CKeeping the head in line with the body
- DDoing suctioning, turning and bathing all at the same time
答案
- 1. D · An unexpected event that causes death or serious harm
- 2. C · Repeating the result back to the caller to confirm it
- 3. A · 清晰、具体的指示:做什么、何时做,以及报告什么
- 4. D · Check for signs of low calcium and inform the provider
- 5. B · A child with asthma who is now quiet with very little air movement
- 6. D · Assess the airway and call for urgent help
- 7. B · Hyperosmolar hyperglycemic state
- 8. D · Doing suctioning, turning and bathing all at the same time
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