1.简单
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ADeciding whether a pressure injury has got worse since yesterday
- BPlanning the patient’s skin care
- CChoosing which wound dressing to use
- DTurning and repositioning the patient every 2 hours
2.简单
Which three things does START triage check in a non-walking adult?
- APain score, mobility and age
- BAirway, blood glucose and pupils
- CPulse, blood pressure and body temperature
- DRespirations, perfusion and mental status
3.简单
What does a “PRN” medication order mean?
- AGive the drug at exactly the same time every single day
- BGive the drug only before surgery
- CGive the drug once only, immediately
- DGive the drug when needed, within the prescribed limits
4.中等
After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?
- ANormal pain after surgery
- BA urinary tract infection
- CDislocation of the new hip
- DA pressure injury on the heel
5.中等
A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?
- A“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
- B“Weigh him after lunch, fully dressed, with his shoes on.”
- C“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
- D“Weigh him at any time today, on whichever scale is free.”
6.中等
一名成年患者在活动室进食时,突然双手抓住喉咙,无法说话、呼吸或咳嗽。护士应首先做什么?
- A等着看患者能否咳出来
- B呼救,并进行拍背和腹部冲击
- C给患者一杯水把食物冲下去
- D盲目用手指在口中掏取
7.困难
A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?
- AAsk the patient to lie down and sleep it off
- BTreat for hypoglycemia with fast-acting oral carbohydrate
- CWithhold all food and fluids until a meter is found
- DGive a dose of rapid-acting insulin in case the glucose is high
8.困难
A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?
- ATaking the victim straight to the X-ray department
- BFull assessment inside the main department straight away
- CPlacing the victim in the waiting room until a doctor is free
- DDecontamination before the victim enters the treatment area
答案
- 1. D · Turning and repositioning the patient every 2 hours
- 2. D · Respirations, perfusion and mental status
- 3. D · Give the drug when needed, within the prescribed limits
- 4. C · Dislocation of the new hip
- 5. A · “Weigh him each morning before breakfast, on the same scale, and tell me the result.”
- 6. B · 呼救,并进行拍背和腹部冲击
- 7. B · Treat for hypoglycemia with fast-acting oral carbohydrate
- 8. D · Decontamination before the victim enters the treatment area
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