1.简单
Which capillary refill time is prolonged in an adult?
- A2 seconds
- BLess than 1 second
- C4 seconds
- D1 second
2.简单
When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?
- AHow long the patient has been in the hospital since admission
- BHow ill the patient is and how much nursing care they need
- CHow far the patient’s room is from the nurses’ station
- DHow many visitors the patient is expected to have
3.简单
哪项任务可以委派给无执照辅助人员?
- A就低钠饮食对患者进行教育
- B评估压力性损伤
- C决定是否就某项发现联系医疗人员
- D测量并记录患者的尿量
4.中等
When making patient assignments, what should the charge nurse consider first?
- AGiving the newest staff the most complex patients
- BMatching each patient’s needs to staff competence
- CLetting staff choose the patients they prefer
- DGiving each nurse patients in rooms next to each other
5.中等
A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?
- AA patient with a sealed radioactive implant for cervical cancer
- BA patient after a hip replacement
- CA patient with type 2 diabetes who needs insulin teaching before discharge
- DA patient with a fractured wrist
6.中等
一名护理助理汇报了四位患者的情况。哪项汇报需要护士首先关注?
- A一名腹部手术后一天的患者新出现烦躁不安,心率 124 次/分
- B一名 COPD 患者静息时 SpO₂ 为 90%,与其平时的数值相符
- C一名患者在过去 6 小时内排尿 300 mL
- D一名患者要求再加一个枕头
7.困难
Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?
- AThe nurse should consider level 2 because of the danger-zone vital sign
- BThe patient is level 5 because the pain is not severe
- CThe patient is level 4 because the blood tests and the scan count as one resource
- DVital signs never change the ESI level
8.困难
Which patient with cirrhosis should the nurse see first?
- AVomiting bright red blood, heart rate 120/min
- BWants to talk about stopping drinking alcohol for good
- CLarge ascites that is unchanged from yesterday
- DLong-standing jaundice and itchy skin, asking for cream
答案
- 1. C · 4 seconds
- 2. B · How ill the patient is and how much nursing care they need
- 3. D · 测量并记录患者的尿量
- 4. B · Matching each patient’s needs to staff competence
- 5. A · A patient with a sealed radioactive implant for cervical cancer
- 6. A · 一名腹部手术后一天的患者新出现烦躁不安,心率 124 次/分
- 7. A · The nurse should consider level 2 because of the danger-zone vital sign
- 8. A · Vomiting bright red blood, heart rate 120/min
完整分步解答:请在 examproblems.com 上练习本主题。