1.简单
在大规模伤亡事件的分诊中,红色标签通常表示什么?
- A期待观察:即使救治也不太可能存活,或已死亡
- B延迟救治:伤势严重,但目前稳定
- C立即救治:危及生命,但及时救治可以存活
- D轻伤:能行走,可以安全等待
2.简单
What does the START in START triage stand for?
- ASimple Triage And Rapid Treatment
- BSystematic Transfer And Rapid Transport
- CStaged Triage And Resuscitation Team
- DStandard Treatment And Referral Tool
3.简单
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
- AMeasuring vital signs
- BGiving an IV push medication
- CReinforcing teaching already given
- DGiving scheduled oral medications
4.中等
A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?
- A“I will report signs of infection early.”
- B“I will take the tablets with food.”
- C“I will tell my dentist and other doctors that I take a steroid.”
- D“I will stop the tablets as soon as I feel better.”
5.中等
在综合内科病房,护士应首先看哪位患者?
- A一名高血压患者,血压 136/84 mmHg
- B一名患者要求提供关于明天出院的书面资料
- C一名轻度紧张性头痛的患者,要求服用对乙酰氨基酚
- D一名抑郁症患者,已将自己的物品送人并有自杀计划
6.中等
A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?
- AGo to the station to finish documentation for other patients
- BLeave the patient for a few minutes to find the relatives and explain what is happening
- CStay with the patient, give oxygen as prescribed and have recent vital signs ready
- DGive a dose of every as-needed medication on the chart
7.困难
A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?
- AAn air leak in the patient or the system that needs checking
- BThe drain is working normally and no action is needed
- CThe lung has fully re-expanded, so the drain is ready to come out
- DThe suction is set too low and needs to be turned up
8.困难
A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?
- AA mild concussion that is settling
- BLow blood sugar from missing a meal
- CNormal tiredness after a fall
- DAn epidural hematoma
答案
- 1. C · 立即救治:危及生命,但及时救治可以存活
- 2. A · Simple Triage And Rapid Treatment
- 3. B · Giving an IV push medication
- 4. D · “I will stop the tablets as soon as I feel better.”
- 5. D · 一名抑郁症患者,已将自己的物品送人并有自杀计划
- 6. C · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
- 7. A · An air leak in the patient or the system that needs checking
- 8. D · An epidural hematoma
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