1.简单
Which patient usually fits ESI level 5?
- AAn adult in cardiac arrest
- BAn adult with chest pain suggesting a heart attack
- CA stable adult who only needs a repeat prescription
- DA stable adult who needs blood tests and an X-ray of the chest
2.简单
For a patient with a suspected heart attack and no contraindications, which drug is usually given early?
- AIbuprofen
- BAspirin, chewed
- CCodeine
- DAcetaminophen (paracetamol)
3.简单
在其他条件相同的情况下,通常哪个问题优先?
- A长期存在的慢性问题,因为它影响患者生活的更多方面
- B解决起来最省时间的问题
- C家属最担心的问题
- D新出现的急性问题
4.中等
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
- AVitamin K deficiency
- BAn expected effect that needs no action
- CHeparin-induced thrombocytopenia
- DIron deficiency anemia
5.中等
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“The pump has limits set by the nurse so she cannot get too much at once.”
- B“Only she should press the button when she needs pain relief.”
- C“I will press the button for her while she is asleep so she stays comfortable.”
- D“I will tell the nurse if she becomes very sleepy or hard to wake.”
6.中等
Before giving a scheduled dose of metoprolol, which assessment is most important?
- ABowel sounds and urine color
- BTemperature and the latest pain score
- CBlood glucose and weight
- DApical pulse and blood pressure
7.困难
一名患肺炎的老年患者新出现意识模糊。首先采取哪项行动?
- A给予处方的按需镇静药
- B询问家属这对患者来说是否正常
- C检查血氧饱和度和其他生命体征
- D用腕部约束带阻止患者拉扯静脉输液管
8.困难
A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?
- AEncourage the patient to walk to ease the back pain
- BGive an oral analgesic and reassess the patient in about one hour
- CCall for emergency help at once and prepare for urgent surgery
- DPalpate the mass firmly to check its size and spread
答案
- 1. C · A stable adult who only needs a repeat prescription
- 2. B · Aspirin, chewed
- 3. D · 新出现的急性问题
- 4. C · Heparin-induced thrombocytopenia
- 5. C · “I will press the button for her while she is asleep so she stays comfortable.”
- 6. D · Apical pulse and blood pressure
- 7. C · 检查血氧饱和度和其他生命体征
- 8. C · Call for emergency help at once and prepare for urgent surgery
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