1.简单
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- APull the fire alarm
- BClose doors to contain the fire and smoke
- CRescue patients in immediate danger
- DUse an extinguisher on the fire
2.简单
在急诊严重程度指数(ESI)中,1 级表示什么?
- A足够稳定,可在快速通道区就诊
- B是最不紧急的患者
- C需要两种或更多资源
- D需要立即挽救生命的干预
3.简单
In US units, which blood urea nitrogen (BUN) result is within the normal adult range?
- A15 mg/dL
- B2 mg/dL
- C70 mg/dL
- D45 mg/dL
4.中等
A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?
- ADrive him to the hospital yourself after he has eaten dinner
- BBook an appointment with his doctor next week
- CLet him lie down and see if it improves
- DCall emergency services now and note the time it started
5.中等
During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?
- ASpeed up the infusion to finish it quickly
- BApply a warm compress to the face and neck
- CStop or slow the infusion and inform the provider
- DIgnore it, because flushing is always harmless and passes
6.中等
A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?
- A“I will not leave my insulin in a hot car.”
- B“I will keep unopened insulin in the fridge.”
- C“I will keep my spare insulin in the freezer so it lasts longer.”
- D“I will check the expiry date on the label before I use the vial.”
7.困难
在外科病房,护士应首先看哪位术后患者?
- A髋关节置换术后 2 天:活动时疼痛 5/10,1 小时前已给过镇痛药
- B结肠造口术后 2 天:造口湿润呈粉红色,排出量少
- C颈动脉内膜切除术后 6 小时:颈部肿胀加重,诉吞咽困难
- D前列腺手术后行膀胱冲洗:尿液呈淡粉色,无血块
8.困难
A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?
- AAccept the full assignment without comment to avoid conflict
- BLeave the intensive care unit and go back to the medical unit without telling anyone
- CRefuse to work and go home, because the assignment is unsafe
- DTell the charge nurse about the gap, accept tasks within competence and ask for support
答案
- 1. C · Rescue patients in immediate danger
- 2. D · 需要立即挽救生命的干预
- 3. A · 15 mg/dL
- 4. D · Call emergency services now and note the time it started
- 5. C · Stop or slow the infusion and inform the provider
- 6. C · “I will keep my spare insulin in the freezer so it lasts longer.”
- 7. C · 颈动脉内膜切除术后 6 小时:颈部肿胀加重,诉吞咽困难
- 8. D · Tell the charge nurse about the gap, accept tasks within competence and ask for support
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