1.简单
Which adult blood glucose result needs treatment straight away?
- A130 mg/dL (7.2 mmol/L) two hours after a large lunch
- B110 mg/dL (6.1 mmol/L) after a snack
- C52 mg/dL (2.9 mmol/L) with sweating and shakiness
- D98 mg/dL (5.4 mmol/L) before breakfast
2.简单
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AA routine handover between shifts
- BA minor error that was noticed but caused no harm at all
- CAn unexpected event that causes death or serious harm
- DA planned admission to intensive care
3.简单
Using the PASS method for a fire extinguisher, what is the first step?
- ASqueeze the handle
- BSweep from side to side
- CPull the pin
- DAim at the base of the fire
4.中等
A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?
- A“I will sit down before I take a tablet.”
- B“I will swallow the tablet with a glass of water.”
- C“I may get a headache after taking a tablet.”
- D“I will keep the tablets in their original dark container.”
5.中等
A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?
- AOffer an iron-rich meal to replace the lost blood
- BCheck the pump rate and leave the infusion running
- CGive a dose of vitamin K by mouth
- DStop the heparin infusion and inform the provider
6.中等
A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?
- AEye drops for glaucoma
- BInhaled bronchodilators
- CTopical skin creams
- DAntihypertensive drugs
7.困难
A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?
- AWait until the end of the shift and then discuss the concern with the nurse privately
- BAsk the nurse to drink coffee and then start work
- CRemove the nurse from patient care and report it according to policy
- DLet the nurse work, but only with stable patients
8.困难
A patient has a heart rate of 38/min, feels dizzy and has a blood pressure of 80/50 mmHg. Which drug is usually given first, as prescribed?
- AAtropine
- BDiltiazem
- CDigoxin
- DMetoprolol
答案
- 1. C · 52 mg/dL (2.9 mmol/L) with sweating and shakiness
- 2. C · An unexpected event that causes death or serious harm
- 3. C · Pull the pin
- 4. B · “I will swallow the tablet with a glass of water.”
- 5. D · Stop the heparin infusion and inform the provider
- 6. D · Antihypertensive drugs
- 7. C · Remove the nurse from patient care and report it according to policy
- 8. A · Atropine
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