1.简单
在大规模伤亡事件的分诊中,绿色标签通常标记哪一类?
- A延迟救治:严重但目前稳定的伤势
- B轻伤:“能走动的伤员”
- C立即救治:需要马上治疗
- D死亡或期待观察
2.简单
Which statement about the nursing process is correct when setting priorities?
- AAssessment comes first, because the other steps depend on it
- BImplementation comes first, so care starts quickly
- CPlanning comes first, before seeing the patient
- DEvaluation comes first, before any patient data have been collected
3.简单
In US units, which blood urea nitrogen (BUN) result is within the normal adult range?
- A2 mg/dL
- B45 mg/dL
- C15 mg/dL
- D70 mg/dL
4.中等
A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?
- ATurn the nasal cannula up to 15 L/min
- BRecheck the SpO₂ at the next routine set of observations in four hours
- CReport it, because a different oxygen device is likely to be needed
- DRemove the oxygen to see if the SpO₂ changes
5.中等
一名刚被告知患有癌症的患者在哭泣,但也已呕吐数次,无法保持液体不吐出。护士首先处理什么?
- A关于化疗的教育
- B关于诊断的情感支持
- C呕吐和液体丢失
- D联系医院的牧师
6.中等
A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?
- ACover the wound with sterile dressings moistened with saline
- BHelp the patient walk to the toilet to relieve abdominal pressure
- CLeave the wound uncovered so the surgeon can see it on arrival
- DPush the bowel gently back into the abdomen with a gloved hand
7.困难
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?
- AIgnore the result, since potassium is always high in this condition and will correct itself
- BGive the insulin as a fast bolus to bring the potassium up
- CReport the result before starting, because insulin will push potassium even lower
- DStart the insulin at once, because the glucose is the bigger problem
8.困难
Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?
- ARemove the dressing and leave the site open to the air
- BRaise the head of the bed so the patient can sit up
- CApply firm, direct pressure just above the puncture site
- DAsk the patient to bend the leg at the hip to stop the bleeding
答案
- 1. B · 轻伤:“能走动的伤员”
- 2. A · Assessment comes first, because the other steps depend on it
- 3. C · 15 mg/dL
- 4. C · Report it, because a different oxygen device is likely to be needed
- 5. C · 呕吐和液体丢失
- 6. A · Cover the wound with sterile dressings moistened with saline
- 7. C · Report the result before starting, because insulin will push potassium even lower
- 8. C · Apply firm, direct pressure just above the puncture site
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