1.简单
一般来说,哪类问题先于其他问题处理?
- A患者现在存在的实际问题
- B旧护理计划中列出的问题
- C以后可能出现的风险问题
- D出院的学习需要
2.简单
Which patient usually fits ESI level 5?
- AA stable adult who needs blood tests and an X-ray of the chest
- BA stable adult who only needs a repeat prescription
- CAn adult in cardiac arrest
- DAn adult with chest pain suggesting a heart attack
3.简单
Which triage method is designed for children in mass-casualty incidents?
- AJumpSTART
- BThe Glasgow Coma Scale
- CThe Braden Scale
- DThe APGAR score
4.中等
护士可以放心最后去看哪位患者?
- A一名 COPD 患者,吸氧 1 L/min,SpO₂ 90%(目标 88–92%),能说完整的句子
- B一名出现新的湿啰音和粉红色泡沫痰的患者
- C一名突发剧烈头痛的患者
- D一名术后两小时的患者,心率从 88 次/分升至 118 次/分
5.中等
A patient is in skeletal traction. Which finding needs the nurse to act?
- AThe patient’s body is in line with the traction
- BThe weights are resting on the floor
- CThe ropes are in the pulleys
- DThe weights are hanging freely
6.中等
Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?
- AHelp the patient empty her bladder
- BGive a dose of oxytocin straight away
- CMassage the uterus firmly for ten minutes
- DAsk the patient to lie still for another hour
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?
- AAccept the full assignment without comment to avoid conflict
- BLeave the intensive care unit and go back to the medical unit without telling anyone
- CTell the charge nurse about the gap, accept tasks within competence and ask for support
- DRefuse to work and go home, because the assignment is unsafe
8.困难
Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?
- APhysical restraint until the spasm passes
- BA higher dose of haloperidol to calm the patient and stop the movements quickly
- CAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
- DNo action, because the spasm is a sign of improvement
答案
- 1. A · 患者现在存在的实际问题
- 2. B · A stable adult who only needs a repeat prescription
- 3. A · JumpSTART
- 4. A · 一名 COPD 患者,吸氧 1 L/min,SpO₂ 90%(目标 88–92%),能说完整的句子
- 5. B · The weights are resting on the floor
- 6. A · Help the patient empty her bladder
- 7. C · Tell the charge nurse about the gap, accept tasks within competence and ask for support
- 8. C · An anticholinergic drug, such as benztropine or procyclidine, as prescribed
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