1.简单
How many levels does the Emergency Severity Index have?
- AThree
- BFour
- CFive
- DSix
2.简单
Which type of stroke is the most common?
- AHemorrhagic stroke
- BIschemic stroke
- CSubarachnoid hemorrhage
- DVenous sinus thrombosis
3.简单
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AA routine handover between shifts
- BAn unexpected event that causes death or serious harm
- CA planned admission to intensive care
- DA minor error that was noticed but caused no harm at all
4.中等
A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3.4 mmol/L). What should the nurse do next?
- ARecord the result and recheck the glucose at the usual time before the evening meal
- BGive the next scheduled dose of rapid-acting insulin with the meal
- CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
- DWait another hour, because juice can take a long time to work
5.中等
A patient taking warfarin has an INR of 5.2 and no signs of bleeding. What should the nurse do?
- AGive a double dose to correct the result
- BHold the warfarin dose and inform the provider
- CEncourage the patient to take aspirin for pain
- DGive the usual dose and recheck the INR next month
6.中等
A patient is in skeletal traction. Which finding needs the nurse to act?
- AThe ropes are in the pulleys
- BThe patient’s body is in line with the traction
- CThe weights are resting on the floor
- DThe weights are hanging freely
7.困难
一名患者 45 分钟前突然说话困难。哪项行动优先级最高?
- A立即口服阿司匹林以限制血栓
- B给水,让患者服用平常的早晨药物
- C启动卒中团队进行紧急影像学检查,并记录最后已知正常的时间
- D等神经科医生在早晨查房时评估患者
8.困难
A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?
- ACooler, paler skin on the arms and legs
- BNew crackles at both lung bases
- CA heart rate that keeps rising after each bag of fluid
- DUrine output at least 0.5 mL/kg/h and clearer thinking
答案
- 1. C · Five
- 2. B · Ischemic stroke
- 3. B · An unexpected event that causes death or serious harm
- 4. C · Give another serving of fast-acting carbohydrate and recheck in 15 minutes
- 5. B · Hold the warfarin dose and inform the provider
- 6. C · The weights are resting on the floor
- 7. C · 启动卒中团队进行紧急影像学检查,并记录最后已知正常的时间
- 8. D · Urine output at least 0.5 mL/kg/h and clearer thinking
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