1.简单
In Maslow’s hierarchy of needs, which level sits at the top?
- ASafety and security
- BEsteem
- CLove and belonging
- DSelf-actualization
2.简单
What is the normal baseline fetal heart rate?
- A40–60/min
- B110–160/min
- C60–100/min
- D160–220/min
3.简单
When is a patient most ready to learn about self-care?
- AWhile in severe pain, so the lesson feels important
- BWhen pain is controlled and basic physical needs are met
- CDuring a period of acute breathlessness
- DStraight after hearing bad news about a serious new diagnosis
4.中等
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AVitamin K (phytonadione)
- BVitamin D (calciferol)
- CThiamine (vitamin B1)
- DVitamin C (ascorbic acid)
5.中等
During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?
- AGive an antipyretic and continue the transfusion
- BFinish the unit quickly through a pressure bag so that the reaction does not last long
- CStop the transfusion and keep the IV open with normal saline via new tubing
- DSlow the transfusion and recheck in an hour
6.中等
A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?
- AGive a cool shower and offer extra fluids, then wait and see what happens
- BReport it at once, because cultures and antibiotics are needed quickly
- CRecheck the temperature in four hours before telling anyone
- DDocument the reading and mention it at the next handover
7.困难
A patient with suspected sepsis has four prescribed orders. Which should usually be done first?
- AGive the IV antibiotic
- BRepeat the lactate in six hours
- CArrange a chest X-ray for later today
- DTake blood cultures
8.困难
一名患者正通过中心静脉导管接受肠外营养。哪项发现需要立即处理?
- A导管上的敷料干燥完整
- B输注过程中血糖 150 mg/dL(8.3 mmol/L)
- C自昨天起体重增加 0.2 kg
- D输注意外中断后出现出汗、颤抖,血糖 62 mg/dL(3.4 mmol/L)
答案
- 1. D · Self-actualization
- 2. B · 110–160/min
- 3. B · When pain is controlled and basic physical needs are met
- 4. C · Thiamine (vitamin B1)
- 5. C · Stop the transfusion and keep the IV open with normal saline via new tubing
- 6. B · Report it at once, because cultures and antibiotics are needed quickly
- 7. D · Take blood cultures
- 8. D · 输注意外中断后出现出汗、颤抖,血糖 62 mg/dL(3.4 mmol/L)
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