1.简单
Who is responsible for developing the nursing plan of care?
- AThe registered nurse
- BThe nursing assistant
- CThe ward clerk
- DThe LPN/LVN alone
2.简单
How many rights of delegation are commonly taught?
- ATen
- BSeven
- CFive
- DThree
3.简单
In delegation, what does supervision mean?
- ASigning the delegate’s documentation without checking it
- BGuidance, follow-up and evaluation of the delegated task by the nurse
- CLeaving the delegate to finish without any contact
- DDoing every delegated task yourself to make sure that it is done right
4.中等
A patient with severe neutropenia needs a room. Which roommate is the safest choice?
- AA patient after a knee replacement with no signs of infection
- BA patient with influenza
- CA patient with an infected, draining leg wound
- DA patient with C. difficile diarrhea
5.中等
On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?
- ARaise the head of the bed, give oxygen and call for urgent help
- BMassage the patient’s calves to ease any muscle cramp
- CEncourage the patient to walk to improve the circulation
- DGive the next dose of oral analgesia and reassess the patient in an hour
6.中等
A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?
- ATurn away and ignore the behavior
- BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
- CStand very close to him and tell him firmly and loudly to sit down and be quiet
- DApply physical restraints at once
7.困难
An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?
- ANormal aging that needs no assessment
- BA sudden worsening of long-standing dementia that needs no tests
- CAn infection, such as a urinary tract infection, presenting atypically
- DBoredom from not having enough activities
8.困难
一名从房屋火灾中获救的患者面部烧伤,鼻毛烧焦,声音嘶哑。优先事项是什么?
- A给予止痛
- B清洁并包扎面部烧伤
- C开始根据烧伤面积计算的静脉液体复苏
- D保护气道,准备早期气道支持
答案
- 1. A · The registered nurse
- 2. C · Five
- 3. B · Guidance, follow-up and evaluation of the delegated task by the nurse
- 4. A · A patient after a knee replacement with no signs of infection
- 5. A · Raise the head of the bed, give oxygen and call for urgent help
- 6. B · Speak calmly, keep a safe distance and invite him to talk about what is wrong
- 7. C · An infection, such as a urinary tract infection, presenting atypically
- 8. D · 保护气道,准备早期气道支持
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