1.简单
在委派中,“正确的情境”是什么意思?
- A该任务清楚地列在被委派者的书面岗位说明中
- B护士在任务完成后检查结果
- C环境和患者的病情使委派是安全的
- D护士给被委派者清晰、具体的指示
2.简单
Which serum creatinine result suggests reduced kidney function in an adult?
- A0.7 mg/dL (about 60 µmol/L)
- B3.5 mg/dL (about 310 µmol/L)
- C1.0 mg/dL (about 90 µmol/L)
- D0.8 mg/dL (about 70 µmol/L)
3.简单
Which serum lithium level suggests toxicity?
- A2.2 mEq/L
- B0.8 mEq/L
- C0.7 mEq/L
- D1.0 mEq/L
4.中等
A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?
- APlace the end of the tube in a bottle of sterile water
- BRemove the tube and cover the site
- CClamp the tube for the rest of the shift
- DWait for the provider to arrive before doing anything else
5.中等
A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?
- ARaise the legs above the heart
- BTurn the patient onto their side
- CGive a drink of water
- DGive an oral anti-sickness tablet
6.中等
On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?
- AEncourage deep breathing, coughing and use of the incentive spirometer
- BKeep the patient lying flat in bed to rest the incision fully
- CRestrict oral fluids so that the lungs do not fill up with extra fluid
- DGive a cough suppressant so that the incision is not strained
7.困难
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- AGive all patients antidiarrheal drugs without assessment
- BMove the affected patients into shared rooms with other patients to free up beds
- CPlace affected patients on contact precautions and inform infection control
- DWait to see if more patients become unwell
8.困难
一名 LPN/LVN 报告说一名稳定的患者现在出现新的胸痛。RN 应怎么做?
- A让护理助理做心电图并等待结果
- B告诉 LPN/LVN 不经评估就给予按需使用的硝酸甘油
- C亲自评估患者并决定下一步
- D让 LPN/LVN 处理,并在班次结束时回报
答案
- 1. C · 环境和患者的病情使委派是安全的
- 2. B · 3.5 mg/dL (about 310 µmol/L)
- 3. A · 2.2 mEq/L
- 4. A · Place the end of the tube in a bottle of sterile water
- 5. B · Turn the patient onto their side
- 6. A · Encourage deep breathing, coughing and use of the incentive spirometer
- 7. C · Place affected patients on contact precautions and inform infection control
- 8. C · 亲自评估患者并决定下一步
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