1.简单
For a patient who does not take an anticoagulant, which INR is normal?
- A6.0
- B2.5
- C4.0
- D1.0
2.简单
Which of these is one of the standard “rights” of medication administration?
- ARight patient
- BRight brand
- CRight ward
- DRight colleague
3.简单
In the ABC framework, which finding is mainly a breathing problem?
- AA blood glucose of 60 mg/dL (3.3 mmol/L)
- BStridor caused by a swollen throat
- CShallow breaths with an SpO₂ of 85% on room air
- DHeart rate 150/min with a low blood pressure and cold skin
4.中等
A nurse takes a telephone order from a provider. What must the nurse do?
- ACarry out the order first and ask the provider to confirm it later
- BAsk the ward clerk to take the order on the nurse’s behalf instead
- CWrite the order down and read it back to the provider to confirm it
- DRemember the order and write it in the chart at the end of the shift
5.中等
A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?
- AHelp the patient walk to the toilet to relieve abdominal pressure
- BPush the bowel gently back into the abdomen with a gloved hand
- CLeave the wound uncovered so the surgeon can see it on arrival
- DCover the wound with sterile dressings moistened with saline
6.中等
Which infant with gastroenteritis should the nurse see first?
- ALethargic, sunken fontanel, no wet diaper for 8 hours
- BTwo loose stools today, feeding well
- CAlert, crying with tears, had a wet diaper an hour ago
- DMild diaper rash, otherwise playful
7.困难
A patient with suspected sepsis has four prescribed orders. Which should usually be done first?
- ARepeat the lactate in six hours
- BTake blood cultures
- CArrange a chest X-ray for later today
- DGive the IV antibiotic
8.困难
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- AMove the affected patients into shared rooms with other patients to free up beds
- BGive all patients antidiarrheal drugs without assessment
- CPlace affected patients on contact precautions and inform infection control
- DWait to see if more patients become unwell
答案
- 1. D · 1.0
- 2. A · Right patient
- 3. C · Shallow breaths with an SpO₂ of 85% on room air
- 4. C · Write the order down and read it back to the provider to confirm it
- 5. D · Cover the wound with sterile dressings moistened with saline
- 6. A · Lethargic, sunken fontanel, no wet diaper for 8 hours
- 7. B · Take blood cultures
- 8. C · Place affected patients on contact precautions and inform infection control
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