1.简单
In delegation, what does supervision mean?
- ADoing every delegated task yourself to make sure that it is done right
- BSigning the delegate’s documentation without checking it
- CGuidance, follow-up and evaluation of the delegated task by the nurse
- DLeaving the delegate to finish without any contact
2.简单
In the AVPU scale, what does the P mean?
- APain score below 5
- BPupils equal and reactive
- CResponds only to pain
- DPulse present and regular
3.简单
What does a “STAT” order mean?
- ACarry it out at the next routine round
- BCarry it out within the next 24 hours
- CCarry it out immediately
- DCarry it out only if the patient asks for it
4.中等
护士发现一名患者躺在床边的地板上。首要行动是什么?
- A打电话给患者家属解释发生了什么
- B在同事的帮助下立即把患者扶回床上
- C在移动患者之前,评估其反应性和损伤情况
- D趁细节清晰时填写事件报告
5.中等
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
- AReport them to human resources at once
- BMeet both of them privately to hear each side
- CIgnore it and hope they sort it out
- DChange both of their assignments without any discussion
6.中等
A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?
- AArrange a psychiatry appointment for next week
- BAsk him to promise he will not harm himself
- CReassure him that things usually look better in the morning after some sleep
- DEnsure constant observation and remove anything he could use to harm himself
7.困难
A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?
- AThyroid hormone
- BSerum cholesterol
- CSerum phosphate
- DSerum amylase
8.困难
A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?
- AGive the water through a straw so it goes down slowly
- BCheck that a swallow screen has been done before giving anything by mouth
- CAsk the family to help the patient drink while sitting upright in a chair at the bedside
- DGive thickened fluids without checking the swallow
答案
- 1. C · Guidance, follow-up and evaluation of the delegated task by the nurse
- 2. C · Responds only to pain
- 3. C · Carry it out immediately
- 4. C · 在移动患者之前,评估其反应性和损伤情况
- 5. B · Meet both of them privately to hear each side
- 6. D · Ensure constant observation and remove anything he could use to harm himself
- 7. C · Serum phosphate
- 8. B · Check that a swallow screen has been done before giving anything by mouth
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