1.简单
After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?
- ANo hand hygiene is needed if gloves were worn
- BWipe hands on a clean towel
- CWash with soap and water
- DUse alcohol hand rub only
2.简单
Which serum sodium value is within the normal adult range?
- A152 mEq/L (152 mmol/L)
- B120 mEq/L (120 mmol/L)
- C128 mEq/L (128 mmol/L)
- D140 mEq/L (140 mmol/L)
3.简单
Which fasting blood glucose value is normal for an adult without diabetes?
- A55 mg/dL (3.1 mmol/L)
- B145 mg/dL (8.0 mmol/L)
- C210 mg/dL (11.7 mmol/L)
- D85 mg/dL (4.7 mmol/L)
4.中等
On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?
- ASevere pre-eclampsia on a magnesium sulfate infusion
- BOne hour after birth with heavy bleeding and a boggy uterus
- CDay 1 after an uncomplicated vaginal birth, stable vital signs
- DA new admission transferred from the labor ward with a fever of 38.6 °C
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?
- AEncourage the patient to walk to improve the circulation
- BRaise the head of the bed, give oxygen and call for urgent help
- CGive the next dose of oral analgesia and reassess the patient in an hour
- DMassage the patient’s calves to ease any muscle cramp
6.中等
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- ASit the patient upright with the legs lowered
- BLay the patient flat with the legs raised
- CGive a warm drink and recheck the blood pressure in an hour
- DApply extra blankets to keep the patient warm and calm
7.困难
在资源极其有限的灾难中,一名几乎全身严重烧伤的伤员被标为黑色。哪项原则解释了这个决定?
- A按到达的顺序救治伤员
- B为最多的人做最大的好事
- C先救治最年幼的伤员
- D先救治伤势最重的人
8.困难
A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?
- AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
- BNo special precautions are needed if the wound is covered with a dressing
- COnly wear gloves when touching the wound itself; skin and bedding are safe
- DWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
答案
- 1. C · Wash with soap and water
- 2. D · 140 mEq/L (140 mmol/L)
- 3. D · 85 mg/dL (4.7 mmol/L)
- 4. C · Day 1 after an uncomplicated vaginal birth, stable vital signs
- 5. B · Raise the head of the bed, give oxygen and call for urgent help
- 6. A · Sit the patient upright with the legs lowered
- 7. B · 为最多的人做最大的好事
- 8. D · Wear a gown and gloves for contact with the patient or the room, and use dedicated equipment
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