1.简单
In mass-casualty triage, what does a yellow tag usually mean?
- ADelayed: serious injuries, but care can safely wait a little
- BDeceased or not expected to survive
- CImmediate: life-threatening injuries that are survivable with quick care
- DMinor: the walking wounded
2.简单
After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?
- ANo hand hygiene is needed if gloves were worn
- BWipe hands on a clean towel
- CWash with soap and water
- DUse alcohol hand rub only
3.简单
哪项任务可以委派给无执照辅助人员?
- A就低钠饮食对患者进行教育
- B决定是否就某项发现联系医疗人员
- C评估压力性损伤
- D测量并记录患者的尿量
4.中等
Several patients on a gastroenterology unit need care. Which patient should the nurse see first?
- ATwo hours after a colonoscopy: rigid abdomen and severe new pain
- BUlcerative colitis, asking about diet changes for home
- CCrohn disease, waiting to be taken down for a scheduled CT scan
- DLong-standing back pain, asking for the usual analgesic
5.中等
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AGive the next dose early to finish the course
- BHold the next dose and report it promptly
- CReassure the patient that it is a normal effect
- DAdvise the patient to use ear drops
6.中等
一名护士要求护理助理使用机械升降机。助理说他们从未接受过使用它的培训。如果护士坚持,将违反委派的哪项正确原则?
- A正确的人员
- B正确的监督与评价
- C正确的指示与沟通
- D正确的任务
7.困难
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
- AGive the as-needed sedative so the patient rests comfortably
- BLet the patient sleep, because the saturation is above target
- CIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
- DAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
8.困难
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
- AAn ordinary pain crisis that will improve with rest
- BA minor chest infection that can safely wait until the morning round
- CAnxiety that will settle with reassurance
- DAcute chest syndrome, which needs urgent escalation and oxygen
答案
- 1. A · Delayed: serious injuries, but care can safely wait a little
- 2. C · Wash with soap and water
- 3. D · 测量并记录患者的尿量
- 4. A · Two hours after a colonoscopy: rigid abdomen and severe new pain
- 5. B · Hold the next dose and report it promptly
- 6. A · 正确的人员
- 7. D · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
- 8. D · Acute chest syndrome, which needs urgent escalation and oxygen
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