1.简单
Which statement belongs in the Background part of an SBAR report?
- A“I would like you to see him within the next 15 minutes.”
- B“I am calling about Mr Khan because his blood pressure has dropped.”
- C“I think he may be developing sepsis.”
- D“He was admitted three days ago with pneumonia and also has COPD.”
2.简单
Which patient usually fits ESI level 5?
- AAn adult in cardiac arrest
- BA stable adult who only needs a repeat prescription
- CAn adult with chest pain suggesting a heart attack
- DA stable adult who needs blood tests and an X-ray of the chest
3.简单
What does a root cause analysis look for after a serious event?
- AWhich patient made the complaint
- BHow much the event cost the hospital
- CThe single staff member who should be blamed
- DThe underlying system causes of the event
4.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?
- AToo much bicarbonate from antacids
- BHyperventilation caused by anxiety
- CPoor ventilation causing carbon dioxide to build up
- DLoss of bicarbonate from the bowel through severe diarrhea
5.中等
Which patient on an addiction unit should the nurse see first?
- ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
- BLast drink one week ago; asking about support groups
- CLast drink this morning; asking when lunch will arrive
- DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
6.中等
Which postoperative patient should the nurse see first?
- ADressing soaked with bright red blood and a heart rate rising to 118/min
- BPain of 4/10 one hour after an oral analgesic
- CAsking when the urinary catheter will be removed
- DWants help with washing her hair before her visitors arrive this afternoon
7.困难
在外科病房,护士应首先看哪位术后患者?
- A结肠造口术后 2 天:造口湿润呈粉红色,排出量少
- B颈动脉内膜切除术后 6 小时:颈部肿胀加重,诉吞咽困难
- C前列腺手术后行膀胱冲洗:尿液呈淡粉色,无血块
- D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
8.困难
A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?
- AHow to choose comfortable walking shoes
- BHow to cook low-fat meals
- CWhich television programs help with relaxation
- DSigns of bleeding and when to seek help
答案
- 1. D · “He was admitted three days ago with pneumonia and also has COPD.”
- 2. B · A stable adult who only needs a repeat prescription
- 3. D · The underlying system causes of the event
- 4. C · Poor ventilation causing carbon dioxide to build up
- 5. A · Last drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
- 6. A · Dressing soaked with bright red blood and a heart rate rising to 118/min
- 7. B · 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 · Signs of bleeding and when to seek help
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