1.简单
What does a “STAT” order mean?
- ACarry it out immediately
- BCarry it out at the next routine round
- CCarry it out within the next 24 hours
- DCarry it out only if the patient asks for it
2.简单
Who is responsible for developing the nursing plan of care?
- AThe ward clerk
- BThe LPN/LVN alone
- CThe nursing assistant
- DThe registered nurse
3.简单
下列哪项是马斯洛层次理论中的生理需要?
- A受到他人尊重
- B感觉自己是家庭的一员
- C排尿和排便
- D在家里感到安全
4.中等
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AApply an ice pack to the perineum
- BMassage the fundus
- CEncourage the patient to rest quietly
- DOffer a meal and fluids
5.中等
A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?
- AA patient with type 2 diabetes who needs insulin teaching before discharge
- BA patient with a sealed radioactive implant for cervical cancer
- CA patient with a fractured wrist
- DA patient after a hip replacement
6.中等
A drowsy patient has an arterial blood gas with pH 7.30, PaCO₂ 58 mmHg (7.7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?
- ALoss of bicarbonate from the bowel through severe diarrhea
- BToo much bicarbonate from antacids
- CHyperventilation caused by anxiety
- DPoor ventilation causing carbon dioxide to build up
7.困难
A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?
- AThe appendicitis is getting better without surgery
- BThe pain has moved to a different, harmless place
- CThe appendix may have ruptured, causing peritonitis
- DThe patient’s analgesic has finally started to work
8.困难
A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?
- AThe burns are healing and the skin is tightening normally
- BThe tight burned skin is restricting chest movement, so an escharotomy may be needed
- CThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
- DThe patient is anxious and only needs reassurance
答案
- 1. A · Carry it out immediately
- 2. D · The registered nurse
- 3. C · 排尿和排便
- 4. B · Massage the fundus
- 5. B · A patient with a sealed radioactive implant for cervical cancer
- 6. D · Poor ventilation causing carbon dioxide to build up
- 7. C · The appendix may have ruptured, causing peritonitis
- 8. B · The tight burned skin is restricting chest movement, so an escharotomy may be needed
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