1.简单
一名患者新发深静脉血栓,同时说自己在病房里感到孤独。根据马斯洛的层次理论,哪项需要优先?
- A与血栓相关的生理需要
- B对尊重和敬重的需要
- C对自我实现的需要
- D住院期间对爱与归属的需要
2.简单
Which symptoms are classic signs of digoxin toxicity?
- AHair loss and weight gain
- BHigh blood sugar and increased thirst
- CA rash, high fever and swollen lymph nodes in the neck
- DNausea, poor appetite and yellow-green visual halos
3.简单
Which blood pressure in an adult suggests hypotension?
- A82/48 mmHg
- B118/76 mmHg
- C110/70 mmHg
- D126/82 mmHg
4.中等
在 START 分诊中,一名不能行走的成人每分钟呼吸 22 次,有桡动脉搏动,能遵从简单指令,但有明显的腿部骨折。该伤员被归入哪一类?
- A黑色(期待观察)
- B绿色(轻伤)
- C红色(立即)
- D黄色(延迟)
5.中等
A nurse takes a telephone order from a provider. What must the nurse do?
- ACarry out the order first and ask the provider to confirm it later
- BWrite the order down and read it back to the provider to confirm it
- CAsk the ward clerk to take the order on the nurse’s behalf instead
- DRemember the order and write it in the chart at the end of the shift
6.中等
一名护理助理报告说某患者的血压是 168/98 mmHg(早些时候是 130/80),且患者头痛。RN 应怎么做?
- A记录该数值,继续发药
- B让助理一小时后复测血压
- C评估患者,复测血压,并寻找症状
- D让助理现在就给予按需使用的降压药
7.困难
A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?
- ATell the charge nurse about the gap, accept tasks within competence and ask for support
- BRefuse to work and go home, because the assignment is unsafe
- CAccept the full assignment without comment to avoid conflict
- DLeave the intensive care unit and go back to the medical unit without telling anyone
8.困难
A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?
- AGive a warm bath with abdominal massage
- BEncourage the child to play contact sports
- CDo not palpate the abdomen
- DMeasure abdominal girth by pressing firmly
答案
- 1. A · 与血栓相关的生理需要
- 2. D · Nausea, poor appetite and yellow-green visual halos
- 3. A · 82/48 mmHg
- 4. D · 黄色(延迟)
- 5. B · Write the order down and read it back to the provider to confirm it
- 6. C · 评估患者,复测血压,并寻找症状
- 7. A · Tell the charge nurse about the gap, accept tasks within competence and ask for support
- 8. C · Do not palpate the abdomen
完整分步解答:请在 examproblems.com 上练习本主题。