1.简单
在优先次序题中,“不稳定”的患者是什么意思?
- A患有糖尿病等长期疾病的患者
- B对明天的手术感到焦虑、爱哭的患者
- C服用五种以上不同药物的患者
- D病情正在变化或难以预测的患者
2.简单
After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?
- AWipe hands on a clean towel
- BWash with soap and water
- CUse alcohol hand rub only
- DNo hand hygiene is needed if gloves were worn
3.简单
当优先次序题问“首先”做什么时,它问的是什么?
- A完成起来最费时间的行动
- B唯一正确的选项;其他都是错的
- C先于其他步骤的那一步,即使所有选项都是正确的
- D护士在典型班次中最常做的行动
4.中等
A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?
- AAssessing the drainage for blood
- BIrrigating the tube when it blocks
- CChecking the tube’s position
- DGiving mouth care
5.中等
A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?
- ATreat it as an emergency and escalate at once
- BGive acetaminophen (paracetamol) and reassess in four hours
- CAdvise the family to see their doctor next week
- DApply a soothing cream to the rash
6.中等
A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?
- AA patient with a sealed radioactive implant for cervical cancer
- BA patient with a fractured wrist
- CA patient with type 2 diabetes who needs insulin teaching before discharge
- DA patient after a hip replacement
7.困难
After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?
- AHypovolemic shock
- BNeurogenic shock
- CSeptic shock
- DCardiac tamponade
8.困难
Which patient is the most appropriate to assign to an LPN/LVN?
- AA patient who has just arrived from the emergency department with pneumonia and confusion
- BA patient with a tracheostomy placed this morning who is coughing up blood
- CA patient on a new IV medication that needs frequent titration
- DA patient with a long-standing tracheostomy who needs routine suctioning and care
答案
- 1. D · 病情正在变化或难以预测的患者
- 2. B · Wash with soap and water
- 3. C · 先于其他步骤的那一步,即使所有选项都是正确的
- 4. D · Giving mouth care
- 5. A · Treat it as an emergency and escalate at once
- 6. A · A patient with a sealed radioactive implant for cervical cancer
- 7. B · Neurogenic shock
- 8. D · A patient with a long-standing tracheostomy who needs routine suctioning and care
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