1.简单
To which patients do standard precautions apply?
- AOnly patients with an open wound
- BOnly patients with a confirmed infection on a lab test
- CAll patients, whether or not an infection is known
- DOnly patients in intensive care
2.简单
Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?
- AA low serum creatinine
- BA platelet count of 900,000/mm³
- CA serum sodium of 160 mEq/L
- DA raised serum creatinine
3.简单
Which symptoms are classic signs of digoxin toxicity?
- AA rash, high fever and swollen lymph nodes in the neck
- BHigh blood sugar and increased thirst
- CHair loss and weight gain
- DNausea, poor appetite and yellow-green visual halos
4.中等
A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?
- A“I will use my steroid inhaler when I have a sudden attack.”
- B“I will carry my salbutamol inhaler with me.”
- C“I will use my steroid inhaler every day, even when I feel well.”
- D“I will rinse my mouth after using the steroid inhaler.”
5.中等
A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?
- AAsk the patient’s 10-year-old child to translate
- BSpeak loudly and slowly in English
- CUse a professional medical interpreter
- DUse hand gestures and hope the patient understands
6.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
- BIgnore it, because flushing is always harmless and passes
- CStop or slow the infusion and inform the provider
- DApply a warm compress to the face and neck
7.困难
An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?
- ASweep the mouth blindly with a finger
- BGive abdominal thrusts straight away until the food comes out
- CGive the patient water to wash the food down
- DEncourage the patient to keep coughing and stay with them
8.困难
在外科病房,护士应首先看哪位术后患者?
- A颈动脉内膜切除术后 6 小时:颈部肿胀加重,诉吞咽困难
- B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
- C结肠造口术后 2 天:造口湿润呈粉红色,排出量少
- D前列腺手术后行膀胱冲洗:尿液呈淡粉色,无血块
答案
- 1. C · All patients, whether or not an infection is known
- 2. D · A raised serum creatinine
- 3. D · Nausea, poor appetite and yellow-green visual halos
- 4. A · “I will use my steroid inhaler when I have a sudden attack.”
- 5. C · Use a professional medical interpreter
- 6. C · Stop or slow the infusion and inform the provider
- 7. D · Encourage the patient to keep coughing and stay with them
- 8. A · 颈动脉内膜切除术后 6 小时:颈部肿胀加重,诉吞咽困难
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