1.简单
一名护理助理报告了四项发现。护士应首先查看哪一项?
- A一名患者想给亲戚打电话
- B一名患者要求再加一条毯子
- C一名患者突然不能活动右臂
- D一名患者的早餐没有吃完
2.简单
In the Emergency Severity Index (ESI), which patient fits level 2?
- AA stable patient who needs no resources
- BA stable patient who needs one resource
- CA patient who needs an immediate life-saving intervention to survive
- DA high-risk situation, new confusion, or severe pain or distress
3.简单
下列哪项是马斯洛层次理论中的生理需要?
- A在家里感到安全
- B排尿和排便
- C感觉自己是家庭的一员
- D受到他人尊重
4.中等
Which practice makes a shift handover safest?
- AHanding over only the patients who had problems during the shift
- BA quick chat in the corridor with no notes taken
- CA structured format, such as SBAR, with time for questions
- DLeaving a sticky note on the computer screen for the next nurse
5.中等
One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?
- A“Stop and call me at once if she feels dizzy or short of breath.”
- B“Walk her to the end of the corridor and back twice before lunch.”
- C“Make sure she wears her own slippers if she has them.”
- D“Try to finish the walk before the lunch trays arrive.”
6.中等
After a hip replacement using a posterior approach, which statement shows a need for further teaching?
- A“I will keep a pillow between my knees when I lie on my side in bed.”
- B“I will use a raised toilet seat at home.”
- C“I will not bend my hip past 90 degrees.”
- D“I will cross my legs when I sit, so I am more comfortable.”
7.困难
A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?
- ANo further action is needed once the fracture is treated
- BA spiral fracture in an infant is always caused by birth trauma
- CThe injury does not fit the infant’s development, so possible abuse must be reported
- DInfants of this age often roll off furniture and break bones in this way
8.困难
一名护士正在护理四位患者。可以安全地将谁分配给护理助理进行常规护理?
- A卒中后五天、需要协助洗澡且生命体征稳定的患者
- B一小时前新置入胸腔引流管的患者
- C血糖 52 mg/dL(2.9 mmol/L)并出汗的患者
- D手术返回、需要进行首次术后评估的患者
答案
- 1. C · 一名患者突然不能活动右臂
- 2. D · A high-risk situation, new confusion, or severe pain or distress
- 3. B · 排尿和排便
- 4. C · A structured format, such as SBAR, with time for questions
- 5. A · “Stop and call me at once if she feels dizzy or short of breath.”
- 6. D · “I will cross my legs when I sit, so I am more comfortable.”
- 7. C · The injury does not fit the infant’s development, so possible abuse must be reported
- 8. A · 卒中后五天、需要协助洗澡且生命体征稳定的患者
完整分步解答:请在 examproblems.com 上练习本主题。