1.简单
Which single action is the most effective way to prevent the spread of infection in hospital?
- AGiving every patient antibiotics
- BKeeping the windows closed
- CHand hygiene
- DWearing a mask all day
2.简单
在大规模伤亡事件的分诊中,黑色标签表示什么?
- A可以等待许多小时的轻伤
- B已死亡,或以现有资源不太可能存活
- C所有伤员中最高的治疗优先级
- D受污染,在给予任何救治之前需要完全洗消
3.简单
Before giving a medication, how many patient identifiers should the nurse check?
- ANone, if the nurse already knows the patient well
- BOne, the room number
- COne, the bed number
- DAt least two, such as name and date of birth
4.中等
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AEncourage the patient to rest quietly
- BMassage the fundus
- COffer a meal and fluids
- DApply an ice pack to the perineum
5.中等
A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?
- AGive a cool shower and offer extra fluids, then wait and see what happens
- BReport it at once, because cultures and antibiotics are needed quickly
- CRecheck the temperature in four hours before telling anyone
- DDocument the reading and mention it at the next handover
6.中等
A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?
- AAntihypertensive drugs
- BEye drops for glaucoma
- CTopical skin creams
- DInhaled bronchodilators
7.困难
在心脏科病房,护士应首先看哪位患者?
- A一名服用地高辛的患者,脉搏 48 次/分,恶心,钾 3.0 mEq/L
- B一名房颤患者,心率 88 次/分,不规则,一如既往
- C一名被要求明天扫描前禁食的患者
- D一名心力衰竭患者,自昨天起体重增加了 0.3 kg
8.困难
交班后,护士应首先评估哪位患者?
- A2 型糖尿病:午餐前血糖 210 mg/dL(11.7 mmol/L),无症状
- B胆囊手术后第 2 天:疼痛 6/10,下一次镇痛药 30 分钟后到期
- C经股动脉心导管术后 1 小时:新出现背痛,脉搏 118 次/分,血压 92/58 mmHg
- DCOPD,吸氧 2 L/min:SpO₂ 90%,呼吸频率 22 次/分,处于平时的基线
答案
- 1. C · Hand hygiene
- 2. B · 已死亡,或以现有资源不太可能存活
- 3. D · At least two, such as name and date of birth
- 4. B · Massage the fundus
- 5. B · Report it at once, because cultures and antibiotics are needed quickly
- 6. A · Antihypertensive drugs
- 7. A · 一名服用地高辛的患者,脉搏 48 次/分,恶心,钾 3.0 mEq/L
- 8. C · 经股动脉心导管术后 1 小时:新出现背痛,脉搏 118 次/分,血压 92/58 mmHg
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