1.简单
In SBAR communication, what does the letter R stand for?
- AReassessment
- BResponse
- CRecommendation
- DResult
2.简单
哪条一般的优先规则是正确的?
- A心理问题始终先于躯体问题
- B容易解决的问题总是先处理
- C局部问题通常先于全身性问题
- D全身性问题通常先于局部问题
3.简单
Does asking a patient directly about suicidal thoughts increase their risk?
- AOnly when the question is asked in writing
- BOnly if the patient is over 65 years old
- CNo; asking directly is safe and helps assess the risk
- DYes; asking about it may give the patient the idea
4.中等
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
- AAn expected effect that needs no action
- BIron deficiency anemia
- CVitamin K deficiency
- DHeparin-induced thrombocytopenia
5.中等
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AAdvise the patient to use ear drops
- BHold the next dose and report it promptly
- CGive the next dose early to finish the course
- DReassure the patient that it is a normal effect
6.中等
An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?
- ANormal aging that needs no action
- BDelirium, which needs the cause found quickly
- CA personality change that is permanent and expected
- DLong-standing dementia that is expected
7.困难
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?
- AIgnore the result, since potassium is always high in this condition and will correct itself
- BReport the result before starting, because insulin will push potassium even lower
- CGive the insulin as a fast bolus to bring the potassium up
- DStart the insulin at once, because the glucose is the bigger problem
8.困难
A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?
- A“I will inject into the fat of my abdomen, away from the navel.”
- B“I will rub the area after the injection to help it absorb.”
- C“I will tell my doctor if I notice unusual bruising or bleeding.”
- D“I will change the injection site each time.”
答案
- 1. C · Recommendation
- 2. D · 全身性问题通常先于局部问题
- 3. C · No; asking directly is safe and helps assess the risk
- 4. D · Heparin-induced thrombocytopenia
- 5. B · Hold the next dose and report it promptly
- 6. B · Delirium, which needs the cause found quickly
- 7. B · Report the result before starting, because insulin will push potassium even lower
- 8. B · “I will rub the area after the injection to help it absorb.”
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