1.简单
Which patient concern belongs to the esteem level of Maslow’s hierarchy?
- AThirst after a long period of fasting before a test
- BMissing friends from home
- CWorry about body image after a mastectomy
- DFear of slipping in the shower
2.简单
What does the Morse Fall Scale measure?
- AA patient’s nutrition status
- BA patient’s pain level
- CA patient’s skin integrity
- DA patient’s risk of falling
3.简单
在 ABC 框架中,哪个问题属于循环问题?
- A焦虑
- B喘鸣
- C呼吸频率 32 次/分
- D无法控制的出血
4.中等
对于采取防跌倒措施的患者,护士应将哪项任务委派给护理助理?
- A教家属如何在家中预防跌倒
- B每天早晨评估并记录患者的跌倒风险评分
- C决定是否仍需要床边警报器
- D按计划每 2 小时协助患者上厕所
5.中等
On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?
- ADay 1 after an uncomplicated vaginal birth, stable vital signs
- BSevere pre-eclampsia on a magnesium sulfate infusion
- CA new admission transferred from the labor ward with a fever of 38.6 °C
- DOne hour after birth with heavy bleeding and a boggy uterus
6.中等
A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?
- AStand very close to him and tell him firmly and loudly to sit down and be quiet
- BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
- CTurn away and ignore the behavior
- DApply physical restraints at once
7.困难
A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?
- A“I can still eat aged cheese and cured salami.”
- B“I will check with the pharmacist before cold remedies.”
- C“I will avoid tap beer and red wine.”
- D“A sudden severe headache is a warning sign.”
8.困难
During a power cut, which patient is the nurse’s first priority?
- AA patient whose call light is not working
- BA patient whose bed will not raise electrically
- CA patient watching television when it switched off
- DA patient who depends on a ventilator
答案
- 1. C · Worry about body image after a mastectomy
- 2. D · A patient’s risk of falling
- 3. D · 无法控制的出血
- 4. D · 按计划每 2 小时协助患者上厕所
- 5. A · Day 1 after an uncomplicated vaginal birth, stable vital signs
- 6. B · Speak calmly, keep a safe distance and invite him to talk about what is wrong
- 7. A · “I can still eat aged cheese and cured salami.”
- 8. D · A patient who depends on a ventilator
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