1.简单
An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?
- AA chest CT scan
- BA lipid profile
- CAn exercise stress test
- DA 12-lead ECG
2.简单
In a patient with sepsis, what does a raised blood lactate level suggest?
- AThe liver is making too much bile
- BThe tissues are not getting enough oxygen
- CThe kidneys are working harder than usual
- DThe patient has eaten recently
3.简单
在成人心脏骤停中,目前的基础生命支持采用哪种顺序?
- AA-C-B:气道、按压、呼吸
- BA-B-C:气道、呼吸、循环
- CC-A-B:胸外按压、气道、呼吸
- DB-C-A:呼吸、循环、气道
4.中等
A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?
- AMake the child vomit straight away to bring up the chemical
- BDo not make the child vomit; call poison control or emergency services now
- CWait to see whether the child develops any symptoms first
- DGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
5.中等
对于髋关节置换术后两天的患者,哪项任务适合护理助理?
- A按髋关节注意事项协助患者坐到椅子上
- B评估上一剂止痛药是否控制了疼痛
- C检查切口有无发红、发热和渗出
- D出院前教患者髋关节注意事项
6.中等
对护理助理的哪项指示最清楚?
- A“午饭前找时间测李先生的生命体征,帮我写在病历上。”
- B“10:00 测李先生的血压,如果收缩压低于 100,立即告诉我。”
- C“今天上午留意一下李先生,让我知道他怎么样。”
- D“你在里面的时候,如果李先生有什么不对劲,告诉我。”
7.困难
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
- ALet the patient sleep, because the saturation is above target
- BIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
- CAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
- DGive the as-needed sedative so the patient rests comfortably
8.困难
A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?
- AVitamin C deficiency
- BAn allergic reaction to the adhesive tape
- CNormal bruising from blood tests
- DDisseminated intravascular coagulation (DIC)
答案
- 1. D · A 12-lead ECG
- 2. B · The tissues are not getting enough oxygen
- 3. C · C-A-B:胸外按压、气道、呼吸
- 4. B · Do not make the child vomit; call poison control or emergency services now
- 5. A · 按髋关节注意事项协助患者坐到椅子上
- 6. B · “10:00 测李先生的血压,如果收缩压低于 100,立即告诉我。”
- 7. C · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
- 8. D · Disseminated intravascular coagulation (DIC)
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