1.简单
In the AVPU scale, what does the P mean?
- APupils equal and reactive
- BPulse present and regular
- CPain score below 5
- DResponds only to pain
2.简单
What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?
- ATo calculate the correct drug doses for each patient
- BTo measure the patient’s satisfaction with care
- CTo spot deterioration early from routine vital signs
- DTo decide the patient’s diet
3.简单
Which patient usually fits ESI level 5?
- AA stable adult who needs blood tests and an X-ray of the chest
- BAn adult in cardiac arrest
- CAn adult with chest pain suggesting a heart attack
- DA stable adult who only needs a repeat prescription
4.中等
During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?
- AGive an antipyretic and continue the transfusion
- BFinish the unit quickly through a pressure bag so that the reaction does not last long
- CStop the transfusion and keep the IV open with normal saline via new tubing
- DSlow the transfusion and recheck in an hour
5.中等
一名稳定的成人腹痛,生命体征正常。他们将需要血液检查和 CT 扫描。哪个 ESI 级别合适?
- A3 级
- B1 级
- C5 级
- D4 级
6.中等
一名通常在产科工作的护士被调派到成人内科病房。最适合分配给这名护士的患者是哪一位?
- A新做气管切开的患者
- B活动性上消化道出血的患者
- C口服抗生素治疗稳定的肺炎患者
- D因糖尿病酮症酸中毒持续输注胰岛素的患者
7.困难
一名带有中心静脉导管的患者在拔除导管时突然呼吸急促,伴胸痛,SpO₂ 下降。护士首先做什么?
- A让患者坐直,迅速拔完导管
- B覆盖穿刺部位,使患者向左侧卧头低位,给氧并呼叫援助
- C让患者缓慢深呼吸并继续
- D用生理盐水冲洗导管以清除任何阻塞
8.困难
Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?
- ATrachea shifted away from the affected side, with low blood pressure
- BSharp chest pain that is worse on deep breathing
- CA small air leak seen on a routine chest X-ray
- DMild breathlessness with reduced breath sounds on one side of the chest only
答案
- 1. D · Responds only to pain
- 2. C · To spot deterioration early from routine vital signs
- 3. D · A stable adult who only needs a repeat prescription
- 4. C · Stop the transfusion and keep the IV open with normal saline via new tubing
- 5. A · 3 级
- 6. C · 口服抗生素治疗稳定的肺炎患者
- 7. B · 覆盖穿刺部位,使患者向左侧卧头低位,给氧并呼叫援助
- 8. A · Trachea shifted away from the affected side, with low blood pressure
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