1.简单
In Maslow’s hierarchy of needs, which level sits at the top?
- ASelf-actualization
- BEsteem
- CLove and belonging
- DSafety and security
2.简单
In a three-level triage system, what does “urgent” mean?
- ALife-threatening and needs care immediately
- BAlready deceased on arrival
- CSerious but stable for now, and needs care soon
- DMinor, and can safely wait for several hours
3.简单
What is a transient ischemic attack (TIA)?
- AA stroke that leaves permanent weakness or paralysis on one side of the body
- BA heart attack that affects the brain
- CA type of migraine with no link to stroke
- DBrief stroke-like symptoms that resolve, warning of a possible stroke
4.中等
A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?
- A“I will put up no-smoking signs at the front door and in my room.”
- B“I will not use oil-based creams on my face.”
- C“I will keep the oxygen away from the gas stove.”
- D“My husband can smoke in my room if the window is open.”
5.中等
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
- AVitamin K deficiency
- BHeparin-induced thrombocytopenia
- CIron deficiency anemia
- DAn expected effect that needs no action
6.中等
A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?
- A“I will sit down before I take a tablet.”
- B“I will swallow the tablet with a glass of water.”
- C“I will keep the tablets in their original dark container.”
- D“I may get a headache after taking a tablet.”
7.困难
一个团队包括一名 RN、一名 LPN/LVN 和一名护理助理。哪种分工最恰当?
- A助理:新入院患者;LPN/LVN:卫生护理;RN:稳定患者的常规生命体征
- BLPN/LVN:所有初步评估;RN:定时用药;助理:出院教育
- C助理:口服药物;LPN/LVN:护理计划;RN:稳定患者的卫生护理
- DRN:新入院患者;LPN/LVN:稳定患者的用药;助理:卫生护理
8.困难
On a cardiac step-down unit, which patient should the nurse assess first?
- AAtrial fibrillation on warfarin with an INR of 2.6 this morning
- BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
- CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
- DHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
答案
- 1. A · Self-actualization
- 2. C · Serious but stable for now, and needs care soon
- 3. D · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 4. D · “My husband can smoke in my room if the window is open.”
- 5. B · Heparin-induced thrombocytopenia
- 6. B · “I will swallow the tablet with a glass of water.”
- 7. D · RN:新入院患者;LPN/LVN:稳定患者的用药;助理:卫生护理
- 8. C · Six hours after a coronary stent, new chest pain with ST elevation on the monitor
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