1.简单
Which statement about the nursing process is correct when setting priorities?
- AEvaluation comes first, before any patient data have been collected
- BAssessment comes first, because the other steps depend on it
- CPlanning comes first, before seeing the patient
- DImplementation comes first, so care starts quickly
2.简单
When a nurse receives a critical lab result by phone, what does “read-back” mean?
- AWaiting for the written report before doing anything
- BRepeating the result back to the caller to confirm it
- CReading the result to the next shift at handover
- DReading the result aloud to the patient straight away
3.简单
Which task can the RN usually assign to an LPN/LVN?
- ATriaging a new arrival in the emergency department
- BDoing the admission assessment of a new patient
- CWriting the patient’s initial plan of care
- DChanging the dressing on a stable, healing wound
4.中等
使用急诊严重程度指数,哪位患者被评为最高紧急程度?
- A咽痛三天、生命体征正常的患者
- B胸痛但生命体征正常的患者
- C无反应、喘息样不规则呼吸的患者
- D可能有踝部骨折的患者
5.中等
A patient has a serum potassium of 6.8 mEq/L. Which action comes first?
- ARecheck the level next week
- BEncourage foods high in potassium
- CGive the patient’s scheduled potassium supplement
- DPlace the patient on a cardiac monitor
6.中等
One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?
- A“Try to finish the walk before the lunch trays arrive.”
- B“Walk her to the end of the corridor and back twice before lunch.”
- C“Make sure she wears her own slippers if she has them.”
- D“Stop and call me at once if she feels dizzy or short of breath.”
7.困难
An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?
- AGiving the breathless patient’s IV furosemide
- BExplaining the new diagnosis to the breathless patient’s family
- CAssessing the breathless patient’s lung sounds
- DMorning vital signs on the four stable patients
8.困难
在肾内科病房,护士应首先看哪位患者?
- A一名询问低磷饮食建议的患者
- B一名腹膜透析患者,引流液清亮
- C一名血液透析患者,错过了昨天的透析,现在肌无力并脉搏不规则
- D一名动静脉内瘘震颤有力、血管杂音明显的患者
答案
- 1. B · Assessment comes first, because the other steps depend on it
- 2. B · Repeating the result back to the caller to confirm it
- 3. D · Changing the dressing on a stable, healing wound
- 4. C · 无反应、喘息样不规则呼吸的患者
- 5. D · Place the patient on a cardiac monitor
- 6. D · “Stop and call me at once if she feels dizzy or short of breath.”
- 7. D · Morning vital signs on the four stable patients
- 8. C · 一名血液透析患者,错过了昨天的透析,现在肌无力并脉搏不规则
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