1.简单
Which medication is the first-line treatment for anaphylaxis?
- AAn oral antihistamine
- BIntramuscular epinephrine
- COral paracetamol (acetaminophen)
- DAn inhaled corticosteroid
2.简单
How many levels does the Emergency Severity Index have?
- AThree
- BFour
- CFive
- DSix
3.简单
Which resting heart rate in an adult is bradycardia?
- A88/min
- B64/min
- C72/min
- D46/min
4.中等
A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?
- A“I will rinse my mouth after using the steroid inhaler.”
- B“I will use my steroid inhaler when I have a sudden attack.”
- C“I will carry my salbutamol inhaler with me.”
- D“I will use my steroid inhaler every day, even when I feel well.”
5.中等
An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?
- ARespiratory alkalosis
- BRespiratory acidosis
- CMetabolic alkalosis
- DMetabolic acidosis
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“你在里面的时候,如果李先生有什么不对劲,告诉我。”
- C“今天上午留意一下李先生,让我知道他怎么样。”
- D“10:00 测李先生的血压,如果收缩压低于 100,立即告诉我。”
7.困难
A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?
- AMeasuring the blood pressure and pulse
- BMonitoring the fetal heart rate
- CWeighing the pads to estimate blood loss
- DA vaginal examination
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
- BWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
- CNo special precautions are needed if the wound is covered with a dressing
- DOnly wear gloves when touching the wound itself; skin and bedding are safe
答案
- 1. B · Intramuscular epinephrine
- 2. C · Five
- 3. D · 46/min
- 4. B · “I will use my steroid inhaler when I have a sudden attack.”
- 5. D · Metabolic acidosis
- 6. D · “10:00 测李先生的血压,如果收缩压低于 100,立即告诉我。”
- 7. D · A vaginal examination
- 8. B · Wear a gown and gloves for contact with the patient or the room, and use dedicated equipment
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