1.简单
In SBAR communication, what does the letter R stand for?
- AResponse
- BReassessment
- CResult
- DRecommendation
2.简单
A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?
- AAbnormally fast and needing assessment
- BNormal after a meal
- CSlow, and expected while the patient is asleep
- DWithin the normal adult range
3.简单
Which task should the registered nurse not delegate to a nursing assistant?
- AEvaluating whether the patient understood discharge teaching
- BWalking a stable patient up and down the corridor after lunch
- CMaking an occupied bed
- DGiving a bed bath to a stable patient
4.中等
哪项陈述表明对委派中的问责有正确理解?
- A“我对决定委派以及跟进结果负有问责。”
- B“一旦我委派了任务,就与我无关了。”
- C“如果任务出了问题,只有助理负责。”
- D“护理助理要对该任务是否适合委派负责。”
5.中等
A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?
- A“I will not use oil-based creams on my face.”
- B“I will keep the oxygen away from the gas stove.”
- C“I will put up no-smoking signs at the front door and in my room.”
- D“My husband can smoke in my room if the window is open.”
6.中等
A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?
- ALeave it because the patient is asleep
- BAsk the family to lower the bed when they next visit
- CLower the bed now and remind the assistant why it matters
- DWrite it in the assistant’s yearly review only
7.困难
An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?
- AMorning vital signs on the four stable patients
- BAssessing the breathless patient’s lung sounds
- CExplaining the new diagnosis to the breathless patient’s family
- DGiving the breathless patient’s IV furosemide
8.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 patient is level 4 because the blood tests and the scan count as one resource
- BVital signs never change the ESI level
- CThe patient is level 5 because the pain is not severe
- DThe nurse should consider level 2 because of the danger-zone vital sign
答案
- 1. D · Recommendation
- 2. A · Abnormally fast and needing assessment
- 3. A · Evaluating whether the patient understood discharge teaching
- 4. A · “我对决定委派以及跟进结果负有问责。”
- 5. D · “My husband can smoke in my room if the window is open.”
- 6. C · Lower the bed now and remind the assistant why it matters
- 7. A · Morning vital signs on the four stable patients
- 8. D · The nurse should consider level 2 because of the danger-zone vital sign
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