1.简单
Which task is appropriate to delegate to a nursing assistant?
- AFeeding a stable patient who has no swallowing problems
- BGiving a stable patient their oral medications
- CAssessing a pressure injury on the sacrum
- DFeeding a patient with newly diagnosed dysphagia after a stroke
2.简单
What is the purpose of the “time-out” just before a surgical procedure?
- ATo count the swabs at the end of the operation
- BTo give the surgeon a short rest before the operation starts
- CTo let the family say goodbye to the patient
- DTo confirm the correct patient, procedure and site
3.简单
Which drug reverses the anticoagulant effect of heparin?
- AProtamine sulfate
- BNaloxone
- CAtropine
- DVitamin K
4.中等
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will keep my child home from school and away from others while unwell.”
- B“I will give my child plenty of fluids.”
- C“I will give my child aspirin to bring the fever down.”
- D“I will call if my child has trouble breathing.”
5.中等
A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?
- AIncrease the infusion rate to overcome the resistance
- BStop the infusion and remove the cannula
- CApply a tight bandage over the site to reduce swelling
- DFlush the cannula hard to clear the blockage
6.中等
对于采取防跌倒措施的患者,护士应将哪项任务委派给护理助理?
- A每天早晨评估并记录患者的跌倒风险评分
- B决定是否仍需要床边警报器
- C按计划每 2 小时协助患者上厕所
- D教家属如何在家中预防跌倒
7.困难
During a power cut, which patient is the nurse’s first priority?
- AA patient watching television when it switched off
- BA patient whose bed will not raise electrically
- CA patient who depends on a ventilator
- DA patient whose call light is not working
8.困难
A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?
- ADo it, because the provider gave the instruction
- BAsk a nursing assistant to do it instead
- CDo it just this once and promise the provider not to do it again
- DDecline, explain why and suggest who can safely do it
答案
- 1. A · Feeding a stable patient who has no swallowing problems
- 2. D · To confirm the correct patient, procedure and site
- 3. A · Protamine sulfate
- 4. C · “I will give my child aspirin to bring the fever down.”
- 5. B · Stop the infusion and remove the cannula
- 6. C · 按计划每 2 小时协助患者上厕所
- 7. C · A patient who depends on a ventilator
- 8. D · Decline, explain why and suggest who can safely do it
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