1.简单
Which protective equipment is needed for droplet precautions?
- AA lead apron and goggles
- BA surgical mask when close to the patient
- CGloves only, with no mask
- DA fitted N95 respirator at all times in the room
2.简单
How many levels does the Emergency Severity Index have?
- ASix
- BThree
- CFive
- DFour
3.简单
In mmHg, what is the normal range for arterial PaCO₂?
- A22–26 mmHg
- B7.35–7.45 mmHg
- C35–45 mmHg
- D80–100 mmHg
4.中等
One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?
- A“Try to finish the walk before the lunch trays arrive.”
- B“Walk her to the end of the corridor and back twice before lunch.”
- C“Make sure she wears her own slippers if she has them.”
- D“Stop and call me at once if she feels dizzy or short of breath.”
5.中等
Which patient is at the highest risk of falling?
- AA 45-year-old with asthma who is alert and independent
- BAn 84-year-old taking a diuretic who has fallen before and gets up at night
- CA 30-year-old after an appendectomy who walks with steady steps
- DA 60-year-old admitted for chest pain that has since been ruled out by tests
6.中等
A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?
- AAsk the roommate to stay in the room with him and help calm him down
- BKeep everyone safe and tell the team, as the risk of harm is high
- CIgnore the comment, because voices are part of his illness
- DTell him the voices are not real and leave him alone
7.困难
A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?
- ALay the child flat on their back
- BPlace the child in a knee-to-chest position
- CGive a large drink of water to calm the child
- DEncourage the child to keep crying to open the lungs
8.困难
A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?
- AEncourage the child to play contact sports
- BDo not palpate the abdomen
- CGive a warm bath with abdominal massage
- DMeasure abdominal girth by pressing firmly
答案
- 1. B · A surgical mask when close to the patient
- 2. C · Five
- 3. C · 35–45 mmHg
- 4. D · “Stop and call me at once if she feels dizzy or short of breath.”
- 5. B · An 84-year-old taking a diuretic who has fallen before and gets up at night
- 6. B · Keep everyone safe and tell the team, as the risk of harm is high
- 7. B · Place the child in a knee-to-chest position
- 8. B · Do not palpate the abdomen
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