1.简单
What should the nurse try before using physical restraints on a confused patient?
- AAsking the family to bring restraints from home
- BRestraining all four limbs to be fully safe
- CUsing restraints at once and removing them later if they turn out not to be needed
- DLess restrictive measures, such as more frequent checks or a bed alarm
2.简单
Which type of stroke is the most common?
- AHemorrhagic stroke
- BVenous sinus thrombosis
- CIschemic stroke
- DSubarachnoid hemorrhage
3.简单
在委派中,“正确的指示与沟通”是什么意思?
- A只把任务写在患者的病历中
- B告诉被委派者运用他们自己的判断
- C要求被委派者在班次结束时报告任何异常发现
- D清晰、具体的指示:做什么、何时做,以及报告什么
4.中等
一名护士将测量血糖的任务委派给一名受过培训的助理,却从不询问结果。缺少了委派的哪项正确原则?
- A正确的情境
- B适合该任务的正确人员
- C适合该环境的正确任务
- D正确的监督与评价
5.中等
护士可以放心最后去看哪位患者?
- A一名出现新的湿啰音和粉红色泡沫痰的患者
- B一名突发剧烈头痛的患者
- C一名术后两小时的患者,心率从 88 次/分升至 118 次/分
- D一名 COPD 患者,吸氧 1 L/min,SpO₂ 90%(目标 88–92%),能说完整的句子
6.中等
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
- ADo not measure blood pressure on the left arm
- BMeasure blood pressure on the left arm only, every 4 hours
- CKeep the left arm wrapped tightly in a bandage at night
- DHelp the patient carry shopping bags on the left arm
7.困难
A patient with anorexia nervosa is admitted. Which finding is the priority?
- AHas fine, downy hair on her arms
- BHeart rate 38/min and potassium 2.8 mEq/L
- CSays she feels fat although she is very thin
- DRefuses to eat in front of other people
8.困难
一名护士正在监督一名新的护理助理。护士何时应最仔细地检查助理的工作?
- A仅在助理为觉得困难的任务求助时
- B从不,因为助理持有该角色的证书
- C当助理对该任务不熟悉或患者不太稳定时
- D仅在班次结束、审阅记录时
答案
- 1. D · Less restrictive measures, such as more frequent checks or a bed alarm
- 2. C · Ischemic stroke
- 3. D · 清晰、具体的指示:做什么、何时做,以及报告什么
- 4. D · 正确的监督与评价
- 5. D · 一名 COPD 患者,吸氧 1 L/min,SpO₂ 90%(目标 88–92%),能说完整的句子
- 6. A · Do not measure blood pressure on the left arm
- 7. B · Heart rate 38/min and potassium 2.8 mEq/L
- 8. C · 当助理对该任务不熟悉或患者不太稳定时
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