1.简单
Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?
- AA platelet count of 900,000/mm³
- BA serum sodium of 160 mEq/L
- CA raised serum creatinine
- DA low serum creatinine
2.简单
What does a “PRN” medication order mean?
- AGive the drug once only, immediately
- BGive the drug only before surgery
- CGive the drug at exactly the same time every single day
- DGive the drug when needed, within the prescribed limits
3.简单
什么是分诊?
- A按患者需要救治的紧急程度进行分类
- B根据床位情况在科室之间转移患者
- C严格按患者到达的顺序进行治疗
- D在当班护士之间平均分配患者
4.中等
A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?
- A“My husband can smoke in my room if the window is open.”
- B“I will not use oil-based creams on my face.”
- C“I will put up no-smoking signs at the front door and in my room.”
- D“I will keep the oxygen away from the gas stove.”
5.中等
A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?
- AWait to see whether the child develops any symptoms first
- BGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
- CMake the child vomit straight away to bring up the chemical
- DDo not make the child vomit; call poison control or emergency services now
6.中等
A nurse takes a telephone order from a provider. What must the nurse do?
- AAsk the ward clerk to take the order on the nurse’s behalf instead
- BRemember the order and write it in the chart at the end of the shift
- CCarry out the order first and ask the provider to confirm it later
- DWrite the order down and read it back to the provider to confirm it
7.困难
An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?
- ATransfusion-associated circulatory overload
- BAn expected effect of the first unit
- CA mild allergic reaction with hives
- DHypoglycemia caused by the stored blood product
8.困难
A patient takes lithium. Which statement shows a need for further teaching?
- A“I will drink enough fluid every day.”
- B“I will keep my daily salt intake about the same as usual.”
- C“I will go for my blood tests as planned.”
- D“I will take ibuprofen every day for my headaches.”
答案
- 1. C · A raised serum creatinine
- 2. D · Give the drug when needed, within the prescribed limits
- 3. A · 按患者需要救治的紧急程度进行分类
- 4. A · “My husband can smoke in my room if the window is open.”
- 5. D · Do not make the child vomit; call poison control or emergency services now
- 6. D · Write the order down and read it back to the provider to confirm it
- 7. A · Transfusion-associated circulatory overload
- 8. D · “I will take ibuprofen every day for my headaches.”
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