1.简单
In the Emergency Severity Index (ESI), which patient fits level 2?
- AA stable patient who needs no resources
- BA patient who needs an immediate life-saving intervention to survive
- CA high-risk situation, new confusion, or severe pain or distress
- DA stable patient who needs one resource
2.简单
Which patient needs a single room with airborne precautions?
- AA patient with type 2 diabetes
- BA patient with a urinary tract infection and a catheter
- CA patient with a fractured femur
- DA patient with suspected pulmonary tuberculosis
3.简单
Which blood pressure in an adult suggests hypotension?
- A110/70 mmHg
- B82/48 mmHg
- C118/76 mmHg
- D126/82 mmHg
4.中等
A patient has a tonic-clonic seizure in bed. What should the nurse do first?
- AProtect the head and turn the patient on their side when possible
- BPlace a tongue depressor between the teeth
- CHold the arms and legs down firmly to stop the jerking movements quickly
- DGive a drink of water to help the patient wake
5.中等
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AMassage the fundus
- BApply an ice pack to the perineum
- CEncourage the patient to rest quietly
- DOffer a meal and fluids
6.中等
Which patient with diabetes should the nurse see first?
- AHbA1c result of 8.2%, asking about diet
- BGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
- CGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
- DNeeds foot care teaching before discharge tomorrow
7.困难
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- AGiving an antipyretic tablet and waiting for it to work
- BAsking the runner to rest in the shade and drink slowly
- CWrapping the runner in a blanket to prevent shivering
- DRapid cooling while supporting airway and circulation
8.困难
A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?
- ADo it just this once and promise the provider not to do it again
- BDecline, explain why and suggest who can safely do it
- CDo it, because the provider gave the instruction
- DAsk a nursing assistant to do it instead