1.简单
In the ABC framework, which finding is mainly a breathing problem?
- AHeart rate 150/min with a low blood pressure and cold skin
- BA blood glucose of 60 mg/dL (3.3 mmol/L)
- CStridor caused by a swollen throat
- DShallow breaths with an SpO₂ of 85% on room air
2.简单
Which medication is the first-line treatment for anaphylaxis?
- AOral paracetamol (acetaminophen)
- BAn inhaled corticosteroid
- CAn oral antihistamine
- DIntramuscular epinephrine
3.简单
一名患者新发深静脉血栓,同时说自己在病房里感到孤独。根据马斯洛的层次理论,哪项需要优先?
- A对尊重和敬重的需要
- B对自我实现的需要
- C住院期间对爱与归属的需要
- D与血栓相关的生理需要
4.中等
A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?
- AThe tube is flushed with a large volume of water
- BPlacement is confirmed by an approved method
- CThe patient is asked if the tube feels comfortable
- DThe feed is started slowly to see if the patient coughs
5.中等
A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?
- A“I will take my weight on my hands, not on my armpits.”
- B“I will keep the crutch tips in good condition.”
- C“I will remove loose rugs from the floor at home.”
- D“I will lean on the crutch pads under my arms to rest.”
6.中等
An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?
- AGive IV sodium bicarbonate as soon as it can be found
- BStay with the patient and coach slow, calm breathing
- CGive oxygen at the highest flow and leave the room
- DEncourage the patient to breathe even faster
7.困难
A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?
- AConstipation that will settle with a laxative later today or tomorrow
- BA normal finding at the end of each exchange
- CToo much fluid left in the abdomen after the drain
- DPeritonitis, which needs prompt reporting and a fluid sample
8.困难
在心脏科病房,护士应首先看哪位患者?
- A一名心力衰竭患者,自昨天起体重增加了 0.3 kg
- B一名被要求明天扫描前禁食的患者
- C一名房颤患者,心率 88 次/分,不规则,一如既往
- D一名服用地高辛的患者,脉搏 48 次/分,恶心,钾 3.0 mEq/L
答案
- 1. D · Shallow breaths with an SpO₂ of 85% on room air
- 2. D · Intramuscular epinephrine
- 3. D · 与血栓相关的生理需要
- 4. B · Placement is confirmed by an approved method
- 5. D · “I will lean on the crutch pads under my arms to rest.”
- 6. B · Stay with the patient and coach slow, calm breathing
- 7. D · Peritonitis, which needs prompt reporting and a fluid sample
- 8. D · 一名服用地高辛的患者,脉搏 48 次/分,恶心,钾 3.0 mEq/L
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