第1題Aregisterednurseisinterestedinfunctioningasahealthcareadvocateforindividualswhoselivesareaffectedbyviolence.Thisnursewillbeinvestigatingwhichexpandedcareerrole?()AClinicalnursespecialistBForensicnurseCNursepractitionerDNurseeducator第2題Anursewith2to3yearsofexperiencewhohastheabilitytocoordinatemultiplecomplexnursingcaredemandsisatwhichstageofBenner’sstagesofnursingexpertise?()AAdvancedbeginnerBCompetentCProficientDExpert第3題Whichofthefollowingsocialforcesismostlikelytosignificantlyimpactthefuturesupplyanddemandfornurses?()AAgingBEconomicsCScience/technologyDTelecommunications第4題Whichprofessionalorganizationdevelopedacodefornursingstudents?()AANABNLNCAACNDNSNA第5題Healthpromotionisbestrepresentedbywhichactivity?()AAdministeringimmunizationsBGivingabathCPreventingaccidentsinthehomeDPerformingdiagnosticprocedures第6題WhichofthefollowingaretheNursingFunctions?Selectall.AthepromotionofhealthBthepreventionofillnessCthecareofill,disabledanddyingpeopleDpromotionofasafeenvironment,research,participationinshapinghealthpolicy

正確答案：ABCD第7題Thereweremanyfactorshadinfluencednursingdevelopmentinthehistory,selectallimportantfactorsinthefollowing.AWomenBWarsCReligionsDSoldiers

正確答案：ABC第8題Whichschoolsetupthe?rstmaster’snursingprograminChina?ATianjinMedicalCollegeBBeijingMedicalUniversityCCentralSouthUniversityDTheSecondMilitaryMedicalUniversity第9題Whichofthefollowingisthenon-profitregisteredacademicandcommonwealcorporatebodyinChina?AICNBCANCCNIDCNA第10題WhichwomenmadesignificantcontributionstothenursingcareofsoldiersduringtheCrimeanWar?AFlorenceNightingaleBHarrietTubmanCFabiolaDSojournerTruth第1題Whichreasoningprocessdescribesthenurse’sactionswhenthenurseevaluatespossiblesolutionsforcareofaninfectedwoundforoptimalclientoutcomes?()AIntuitionBResearchprocessCTrialanderrorDProblemsolving第2題Whenthenurseconsidersthataclientisfromadevelopingcountryandmayhaveapositivetuberculosistestduetoapriorvaccination,whichcriticalthinkingattitudeandskillisthenursepracticing?()ACreatingenvironmentsthatsupportcriticalthinkingBToleratingdissonanceandambiguityCSelf-assessmentDSeekingsituationswheregoodthinkingispracticed第3題Thenurseisconcernedaboutaclientwhobeginstobreatheveryrapidly.Whichactionbythenursereflectscriticalthinking?()ANotifytheprimarycareprovider.BObtainvitalsignsandoxygensaturation.CRequestachestx-ray.DCalltherapidresponseteam.第4題Inthedecision-makingprocess,thenursesetsandweightsthecriteria,examinesalternatives,andperformswhichofthefollowingbeforeimplementingtheplan?()AReexaminesthepurposeformakingthedecisionBConsults

theclientandfamilymemberstodetermine

their

viewofthecriteriaCIdentifies

andconsidersvariousmeansforreachingthe

outcomesDDetermines

thelogicalcourseofactionshould

intervening

problemsarise第5題Theclientwhoisshortofbreathbenefitsfromtheheadofthebedbeingelevated.Becausethispositioncanresultinskinbreakdowninthesacralarea,thenursedecidestostudytheamountofsacralpressureoccurringinotherpositions.Thisdecisionisanexampleof()ATheresearchmethod.BThetrial-and-errormethod.CIntuition.DThenursingprocess.第6題Amajorcharacteristicofthenursingprocessiswhichofthefollowing?()AAfocusonclientneedsBItsstaticnatureCAnemphasisonphysiologyandillnessDItsexclusiveusebyandwithnurses第7題Inthevalidatingactivityoftheassessingphaseofthenursingprocess,thenurseperformswhichofthefollowing?()ACollectssubjectivedataBAppliesaframeworktothecollecteddataCConfirmsdataiscompleteandaccurateDRecordsdataintheclientrecord第8題Whichofthefollowingisthepurposeofassessing?()AEstablishadatabaseofclientresponsestohisorherhealthstatus.BIdentifyclientstrengthsandproblems.CDevelopanindividualizedplanofcare.DImplementcare,preventillness,andpromotewellness.第9題Whichofthefollowingbehaviorswouldindicatethatthenursewasutilizingtheassessmentphaseofthenursingprocesstoprovidenursingcare?()AProposeshypothesesBGeneratesdesiredoutcomesCReviewsresultsoflaboratorytestsDDocumentscare第10題Whichofthefollowingbehaviorsismostrepresentativeofthenursingdiagnosisphaseofthenursingprocess?()AIdentifyingmajorproblemsorneedsBOrganizingdataintheclient’sfamilyhistoryCEstablishingshort-termandlong-termgoalsDAdministeringanantibiotic第11題Whichofthefollowingistrueregardingthestateofthescienceinregardstonursingdiagnosis?()ATheoriginaltaxonomyhasproventobeadequateinscope.BTheorganizingframeworkofthetaxonomyisbasedontheworkofFlorenceNightingale.CMoreresearchisneededtovalidateandrefinethediagnosticlabels.DNewdiagnosticlabelsareapprovedbymeansofavoteofregisterednurses.第12題Inthecaseinwhichaclientisvulnerabletodevelopingahealthproblem,thenursechooseswhichtypeofnursingdiagnosisstatus?AArisknursingdiagnosisBAwellnessnursingdiagnosisChealthpromotionnursingdiagnosis

DAnactualnursingdiagnosis第13題Oneoftheprimaryadvantagesofusingathree-partdiagnosticstatementsuchastheproblem–etiology–signs/symptoms()formatincludeswhichofthefollowing?()ADecreasesthecostofhealthcareBImprovescommunicationbetweennurseandclientCHelpsthenursefocusonhealthandwellnesselementsDStandardizesorganizationofclientdata第14題Whichofthefollowingnursingdiagnosescontainsthepropercomponents?()ARiskforCaregiverRoleStrainrelatedtounpredictableillnesscourseBRiskforFallsrelatedtotendencytocollapsewhenhavingdifficultybreathingCImpairedCommunicationrelatedtostrokeDSleepDeprivationsecondarytofatigueandanoisyenvironment第15題Inthediagnosticstatement“ExcessFluidVolumerelatedtodecreasedvenousreturnasmanifestedbylowerextremityedema(),”theetiologyoftheproblemiswhichofthefollowing?()AExcessfluidvolumeBDecreasedvenousreturnCEdemaDUnknown第16題ThenurseselectsthenursingdiagnosisofRiskforImpairedSkinIntegrityrelatedtoimmobility,dryskin,andsurgicalincision.Whichofthefollowingrepresentsaproperlystatedoutcome/goal?Theclientwill()ATurninbedq2h.BReporttheimportanceofapplyinglotiontoskindaily.CHaveintactskinduringhospitalization.DUseapressure-reducingmattress.第17題Whichofthefollowingprinciplesdoesthenurseuseinselectinginterventionsforthecareplan?()AActionsshouldaddresstheetiologyofthenursingdiagnosis.BAlwaysselectindependentinterventionswhenpossible.CThereisonebestinterventionforeachgoal/outcome.DInterventionsshouldbe“doing,”notjust“monitoring.”第18題Whichofthefollowingislikelytooccurifthegoalstatementispoorlywritten?()AThereisnostandardagainstwhichtocompareoutcomes.BThenursingdiagnosescannotbeprioritized.COnlydependentnursinginterventionscanbeused.DItisdifficulttodeterminewhichnursinginterventionscanbedelegated.第19題Thenurserecognizeswhichofthefollowingasabenefitofusingastandardizedcareplan?()ANoindividualizationisneeded.BThenursechoosesfromalistofinterventions.CTheyaremuchshorterthannurse-authoredcareplans.DTheyhavebeenapprovedbyaccreditingagencies.第20題Theclientwithafracturedpelvisrequeststhatfamilymembersbeallowedtostayovernightinthehospitalroom.Beforedeterminingwhetherornotthisrequestcanbehonored,thenurseshouldconsultwhichofthefollowing?()AHospitalpoliciesBStandardizedcareplansCOrthopedicprotocolsDStandardsofcare第21題Whichofthefollowingrepresentsapplicationofthecomponentsofevaluating?()AGoalachievementmustbewrittenaseithercompletelymetorunmet.BDatarelatedtoexpectedoutcomesmustbecollected.CIftheoutcomewasachieved,concludethattheplanwaseffective.DAfterdeterminingthattheoutcomewasnotmet,startoverwithanewnursingcareplan.第22題Thecareplancallsforadministrationofamedicationplusclienteducationondietandexerciseforhighbloodpressure.Thenursefindsthebloodpressureextremelyelevated.Theclientisverydistressedwiththisfinding.Whichnursingskillofimplementingwouldbeneededmost?()ACognitiveBIntellectualCInterpersonalDPsychomotor第23題Theprimarypurposeoftheevaluatingphaseofthecareplanningprocessistodeterminewhether()ADesiredoutcomeshavebeenmet.BNursingactivitieswerecarriedout.CNursingactivitieswereeffective.DClient’sconditionhaschanged.第24題Underwhatcircumstancesisitconsideredacceptablepracticeforthenursetodocumentanursingactivitybeforeitiscarriedout?()AWhentheactivityisroutine(e.g.,raisingthebedrails)BWhentheactivityoccursatregularintervals(e.g.,turningtheclientinbed)CWhentheactivityistobecarriedoutimmediately(e.g.,astatmedication)DItisneveracceptable第25題Wheninitiatingtheimplementationphaseofthenursingprocess,thenurseperformswhichofthefollowingphasesfirst?()ACarryingoutnursinginterventionsBDeterminingtheneedforassistanceCReassessingtheclientDDocumentinginterventionsChapter3第1題Thenurseisdressedandispreparingtocareforapatientintheperioperativearea.Thenursehasscrubbedherhandsandhasdonnedasterilegownandgloves.Whichactionwouldindicateabreakinsteriletechnique?ATouchingprotectiveeyewear.BStandingwithhandsfoldedonchest.CAcceptingsterilesuppliesfromthesurgeon.DStayingwiththesteriletableonceitisopen.第2題Whichofthefollowingnursingactionswouldmostincreaseapatientriskfordevelopingahealthcare

associatedinfection?AUseofsurgicalaseptictechniquetosuctionanairway.BUrinarycatheterdrainagebagplacedbelowthelevelofthebladder.CCleantechniqueforinsertingaurinarycatheter.DUseofasterilebottledsolutionmorethanoncewithina24-hourperiod.第3題Theinfectioncontrolnurseisreviewingdataforthemedical-surgicalunit.Thenursenoticesaspikeinpostoperativeinfectionsonthisunitandcategorizesthistypeofhealthcare

associatedinfectionas_____infections.AIatrogenicBExogenousCEndogenousDNosocomial第4題Thenurseiscaringforapatientwithleukemiaandispreparingtoprovidefluidsthroughavascularaccessdevice.Whichnursinginterventionispriorityinthisprocedure?APositionthepatientcomfortably.BMaintainaseptictechnique.CGatheravailablesupplies.DReviewtheprocedurewiththepatient.第5題Thenurseisprovidinganeducationalsessionforagroupofpreschoolworkers.ThenurseremindsthegroupthatthemostimportantthingtodotopreventthespreadofinfectionistoAEncouragepreschoolchildrentoeatanutritiousdiet.BEncourageparentstoprovideamultivitamintothechildren.CCleanthetoyseveryafternoonbeforeputtingthemaway.DWashtheirhandsbetweeneachinteractionwithchildren.第6題Thenurseiscaringforapatientwhohasjustdeliveredaneonate.Thenurseischeckingthepatientforexcessivevaginaldrainage.Itisimportantforthenursetoutilize_____Precautions.AContactBProtectiveCDropletDStandard

第7題Thenurseiscaringforapatientwhobecomesnauseatedandvomitswithoutwarning.Thenursehascontaminatedhands.ThenursebestnextstepistoACleanhandswithwipesfromthebedsidetable.BWashhandswithanantimicrobialsoapandwater.CUseanalcohol-basedwaterlesshandgel.DInstructthepatienttowashhisfaceandhands.第8題Thehomehealthnurseisteachingapatientandfamilyabouthandhygieneinthehome.ThenurseissuretoemphasizewashinghandsbeforeAAndaftershakinghands.BAndaftertreatments.COpeningtherefrigerator.DAndafterusingacomputer.第9題ThenurseiscaringforapatientonContactPrecautions.Whichofthefollowingactionswouldbeappropriatetopreventthespreadofdisease?AWearagown,gloves,facemask,andgogglesforinteractionswiththepatient.BUseadedicatedbloodpressurecuffthatstaysintheroomandisusedforthatpatientonly.CPlacethepatientinaroomwithnegativeairflow.DTransportthepatientquicklywhengoingtotheradiologydepartment.第10題Thenurseischanginglinensforapostoperativepatientandfeelsastickinherhand.Anonactivatedsafeneedleisnotedinthelinens.ThisscenariowouldindicatethatthenursemaybeatriskforAHepatitisB.BClostridiumdifficile.CMethicillin-resistantStaphylococcusaureus.DDiphtheria.Chapter4第1題Thepatient’sbloodpressureis140/60.ThenurserealizesthatthisequatestoapulsepressureofA140.B60.C80.D200.第2題Whilethenurseisassessingthepatient’srespirations,itisimportantforthepatientto()ABeawareoftheprocedurebeingdone.BNotknowthatrespirationsarebeingassessed.CUnderstandthatrespirationsareestimatedtosavetime.DNotbetoucheduntiltheentireprocessisfinished.第3題Thepatientisfoundtobeunresponsiveandnotbreathing.Todeterminethepresenceofcentralbloodcirculationandcirculationofbloodtothebrain,thenursechecksthepatient’s_____pulse.ARadialBBrachialCPosteriortibialDCarotid第4題Thepatientrequiresroutinetemperatureassessmentbutisconfusedandeasilyagitatedandhasahistoryofseizures.Thenurse’sbestoptionwouldbetotakehistemperature()AOrally.BTympanically.CRectally.DBytheaxillarymethod.第5題Whenheatlossmechanismsofthebodyareunabletokeeppacewithexcessheatproduction,theresultisknownas()APyrexia.BTheplateauphase.CThesetpoint.DBecomingafebrile.Chapter5第1題Childrenareespeciallyatriskforwhichinjuries?AaspirationBfallsCburnsDpressureulcers正確答案：ABCD第2題Factorsaffectingpatientsafetyinclude:ApatientfactorBenvironmentalfactorsChealthcareproviderfactorsDtreatmentfactors正確答案：ABCD第3題Whichfactorsasbelowsarepatientfactorsaffectingpatientsafety?AageanddevelopmentBalterationsinmobilityrelatedtoparalysisCsensory-perceptualchangesDImpairedawareness正確答案：ABCD第4題Apersonwithdecreasedsensationmaydevelopapressureulcer.第5題Theprovisionofsafeservicesisextremelyimportantonly

inprimarysettings.第6題ThenursenotesthattheelectricalcordonanIVinfusionpumpiscracked.Whichactionbythenurseisbest?()AContinuetomonitorthepumptoseeifthecrackworsens.BPlacethepumpbackontheutilityroomshelf.CAsmallcrackposesnodangersocontinueusingthepump.DClearlylabelthepumpandsenditforrepair.第7題A78-year-oldpatientisbeingseenintheemergencydepartment.Thenurseobserveshisgaitandbalanceappeartobeslightlyunsteady.Whatassessmentshouldthenurseperformnext?()APerformthe

Get

UpandGoTest.BAskthepatientifhehasfalleninthepastyear.CReferthepatientforacomprehensivefallevaluation.DAdministerthe

TimedUpandGoTest.第8題Physiologicalchangesassociatedwithagingplacetheolderadultespeciallyatriskforwhichnursingdiagnosis?ARiskforFallsBRiskforIneffectiveAirwayClearance(choking)CRiskforPoisoningDRiskforSuffocation(drowning)第9題Whichisthemostcommonlyreportedincidentinhospitals?()AEquipmentmalfunctionBPatientfallsCLaboratoryspecimenerrorsDTreatmentdelays第10題TheJointCommissionsnationalSpeakUpcampaignencouragespatientstobecomeactiveandinformedparticipantsonthehealthcareteam.Thegoalisto:()Apreventhealthcareerrors.Bhelpcontrolthecostofhealthcare.Creducethenumberofautomobileaccidents.Dprovideaforumforpeoplewithnohealthinsurance.Chapter6第1題第2題PleaseindicatewhichisthecharacteristicsoftheStageIofpressureulcer()ATheskinispurpleBNon-blanchingredness,swelling,heat,painCPartialthicknessskinlossDTheskinappearsblisterofdifferentsizes第3題Thereisa2x2cmwoundwithyellowexudateontheMrLi'ssacrum.Whichstageofthispressureulcer?()AStageI:ruddygorestageBStageII:inflammatoryinvasionstageCStageIII:theshallowulcerstageDStageIV:necroticulcersstage第4題Pleaseindicatewhichpartwillnotoccurpressureulcerwhenthepatientisintheside-lyingposition.()AEarBAcromionCElbowDBreast第5題Whichisthemainreasonofpressureulcers?()AContinuouspressureBMalnutritionCFecalandurinaryincontinenceDAdvancedage第6題____isthelargestorganofthebody.正確答案：:Skin第7題第8題第9題The

skinismainlycomposedofthefollowingtissues().Aepidermis,dermis,skinappendages?Bbasalcells,spinouscells,granularcells,hyalinelayer,stratumcorneumCepidermis,dermis,subcutaneoustissue,skinappendagesDepidermis,dermis,nervefibers,bloodvessels,lymphatic

vesselsEepidermis,dermis,subcutaneoustissue正確答案：EChapter7第1題What

arethekeyobservationpointsduringthemedicationadministation

()APsychologicalneedsofpatientsBFocusonobservationofmental,consciousness,vitalsigns,diet,

sleep,defecation,skin,andphysicalactivityCMentalneedsofthepatientDNeedsforpatientsafety第2題Which

iscorrectaboutthethree-stepmedication()APatientswithseverepain,chooseweakopioidsBPatientswithmoderatepain,chooseweakopioidsCOpioidsforpatientswithmildpainDNSAIDsandanti-inflammatorydrugsforpatientswithmoderatepain第3題In

1995,theJointCommitteeAmericanHealthOrganizationdefinedthe

fifthvitalsignwas()AbreathingBpulseCpainDbloodpressure第4題Facial

Scaleissuitableforthosepeople()Aadults,Belderly,Cchildrenunder7yearsoldoradultswith

cognitiveimpairment,Dilliterate第5題Which

ofthefollowingarenotcomplicationsduringpaintreatment()ADisorderofconsciousness,unconsciousnessandneuropsychiatric

disordersBDizziness,

nauseaandvomitingCConstipationandurinaryretentionDHypertension,arrhythmiaChaper8第1題Thenurseispreparingtoperformtracheostomycare.Priortobeginningtheprocedurethenurseperformswhichaction?()ATellstheclienttoraisetwofingerstoindicatepainordistressBChangesthetwilltapeholdingthetracheostomyinplaceCCleanstheincisionsiteDChecksthetightnessofthetiesandknot第2題Whichactionbythenurserepresentspropenasopharyngeal/nasotrachealsuctiontechnique?()ALubricatethesuctioncatheterwithpetroleumjellybeforeandbetweeninsertions.BApplysuctionintermittentlywhileinsertingthesuctioncatheter.CRotatethecatheterwhileapplyingsuction.DHyperoxygenatewith100%oxygenfor30minutesbeforeandaftersuctioning.第3題Thenursemakestheassessmentthatwhichclienthasthegreatestriskforaproblemwiththetransportofoxygenfromthelungstothetissues?Aclientwhohas()AAnemia.BAninfection.CAfracturedrib.DAtumorofthemedulla第4題Topreventpostoperativecomplications,thenurseassiststheclientwithcoughinganddeep-breathingexercises.Thisisbestaccomplishedbyimplementingwhichofthefollowing?()ACoughingexercises1hourbeforemealsanddeepbreathing1houraftermeals.BForcefulcoughingasmanytimesastolerated.CHuffcoughingevery2hoursorasneeded.DDiaphragmaticandpursed-lipbreathing5to10times,fourtimesaday.第5題Aclientwithchronicpulmonarydiseasehasabluishtingearoundthelips.Thenursechartswhichtermtomostaccuratelydescribetheclient’scondition?()AHypoxiaBHypoxemiaCDyspneaDCyanosisChaper9第1題Thenursewhoispreparingtogiveafeedingthroughanasogastric(NG)tubeteststheplacementofthetubemostsafelyby:()Acheckingthelungsforrhonchi.Binstilling10mLofnormalsalineandcheckingforcough.Caspiratingstomachcontents.Dinjecting20mLofairandlistenatthetipofthexiphoid.第2題

Whenthepatienthasjustfinishedreceivingatubefeeding,thenurseleavestheheadofthepatientsbedelevatedfor30to60minutesafterfeedinginorderto:()Afacilitatestomachemptyingandpreventaspiration.Bmaintainskinintegritytothebuttocks.Cfacilitatelungdrainageandpromoteventilation.Dpreventfeedingtubefromclogging.第3題Stoppingtheinfusionandcheckingforresidual,thenurseaspirates155mLofgastriccontents.Thenurseshouldnext:()Areplacetheaspirateandcontinuewiththefeeding.Bthrowtheaspirateawayandflushthetubing.Creplacetheaspirateandstopfeedingfor1to2hours.Dthrowtheaspirateawayandstopfeedingfor2hours.第4題

ThenurseinsertinganNGtubethroughthenostrilintothebackofthethroatofapatientwouldinstructthepatientto:()Ahyperextendthehead.Bcoughforcefully.Cdropheadforwardandbegintoswallow.Dopenmouthandextendtongue.第5題

Anursepositionsapatientfortheinsertionofanasogastric(NG)tubeby:()

ASittingthepatientuprightandhyperextendingthepatientshead.BLoweringtheheadofthebedtoaflatposition.CRaisingtheheadofthebedto15degrees.DTurningthepatienttoaleftside-lyingposition.Chapter10第1題Whencaringforahospitalizedpatientwithaurinarycatheter,whichnursingactionbestpreventsthepatientfromacquiringaninfection?()AInsertingthecatheterusingstrictcleantechniqueBPerforminghandhygienebeforeandafterprovidingperinealcareCFullyinflatingthecatheter’sballoonaccordingtothemanufacturer’srecommendationDDisconnectingandreplacingthecatheterdrainagebagoncepershift第2題Thenursewouldquestionanordertoinsertaurinarycatheteronwhichpatient?AA26-year-oldpatientwitharecentspinalcordinjuryatT2B

A30-year-oldpatientrequiringdrugscreeningforemploymentCA40-year-oldpatientundergoingbladderrepairsurgeryDAn86-year-oldpatientrequiringmonitoringofurinaryoutputforrenalfailure第3題Thenurseknowsthatwhichindwellingcatheterprocedureplacesthepatientatgreatestriskforacquiringaurinarytractinfection?()AEmptyingthedrainagebagevery8hoursorwhenhalffull.BKinkingthecathetertubingtoobtainaurinespecimen.CPlacingthedrainagebagonthesiderailofthepatient’sbed.DFailingtosecurethecathetertubingtothepatient’sthigh.第4題Manyindividualshavedifficultyvoidinginabedpanorurinalwhilelyinginbedbecausethey()AAreembarrassedthattheywillurinateonthebedding.BWouldfeelmorecomfortableassuminganormalvoidingposition.CFeeltheyarelosingtheirindependencebyaskingthenursingstafftohelp.DAreworriedaboutacquiringaurinarytractinfection.第5題Toobtainaclean-voidedurinespecimenforafemalepatient,thenurseshouldteachthepatientto()ACleansetheurethralmeatusfromtheareaofmostcontaminationtoleast.BInitiatethefirstpartoftheurinestreamdirectlyintothecollectioncup.CHoldthelabiaapartwhilevoidingintothespecimencup.DDrinkfluids5minutesbeforecollectingtheurinespecimen.第6題Whenestablishingadiagnosisofalteredurinaryelimination,thenurseshouldfirst()AEstablishnormalvoidingpatternsforthepatient.BEncouragethepatienttoflushkidneysbydrinkingexcessivefluids.CMonitorpatients’voidingattemptsbyassistingthemwitheveryattempt.DDiscusscausesandsolutionstoproblemsrelatedtomicturition.第7題Uponpalpation,thenursenoticesthatthebladderisfirmanddistended;thepatientexpressesanurgetourinate.Thenurseshouldfollowupbyasking()A“Whenwasthelasttimeyouvoided?”B“Doyouloseurinewhenyoucoughorsneeze?”C“Haveyounoticedanychangeinyoururinationpatterns?”D“Doyouhaveafeverorchills?”第8題Whencaringforapatientwithurinaryretention,thenursewouldanticipateanorderfor()ALimitedfluidintake.BAurinarycatheter.CDiureticmedication.DArenalangiogram.第9題Apatienthasfallenseveraltimesinthepastweekwhenattemptingtogettothebathroom.Thepatientinformsthenursethathegetsup3or4timesanighttourinate.Whichrecommendationbythenurseismostappropriateincorrectingthisurinaryproblem?()AClearthepathtothebathroomofallobstaclesbeforebed.BLeavethebathroomlightontoilluminateapathway.CLimitfluidandcaffeineintakebeforebed.DPracticeKegelexercisestostrengthenbladdermuscles.第10題Thenurseknowsthaturinarytractinfection()isthemostcommonhealthcare–associatedinfectionbecause()ACatheterizationproceduresareperformedmorefrequentlythanindicated.BEscherichiacolipathogensaretransmittedduringsurgicalorcatheterizationprocedures.CPerinealcareisoftenneglectedbynursingstaff.DBedpansandurinalsarenotstoredproperlyandtransmitinfection.第11題Thenurseknowsthatindwellingcathetersareplacedbeforeacesareanbecause()AThepatientmayvoiduncontrollablyduringtheprocedure.BAfullbladdercancausethemother’sheartratetodrop.CSpinalanestheticscantemporarilydisableurethralsphincters.DThepatientwillnotinterrupttheprocedurebyaskingtogotothebathroom.第12題Apatientisexperiencingoliguria.Whichactionshouldthenurseperformfirst?()AIncreasethepatient’sintravenousfluidrate.BEncouragethepatienttodrinkcaffeinatedbeverages.CAssessforbladderdistention.DRequestanorderfordiuretics.Chapter11第1題Youareperformingone-rescuerCPR.HowlongshouldyoucontinueadministeringCPR?()AUntilthecasualtyrecovers.BUntilyouarerelievedbyaqualifiedperson.CUntilyouaretooexhaustedtocontinueadministeringCPR.DAlloftheaboveareappropriateresponses.第2題Whenperformingchestcompressiononanadultcasualty,youshouldpushthesternumdownabout:()A1inch.B2inches.C3inches.D4inches.第3題WhenperformingthechestcompressionportionofCPR,youshouldpushdownonthelowerhalfofthe:ARibs.BSpine.CSternum.DXiphoidprocess第4題Whatisthecorrectcompression-to-ventilationratiowhenperformingCPRaloneforvictimsofanyage?()A30Compressionsforevery2breathsB30Compressionsforevery1breathsC15Compressionsforevery2breathsD15Compressionsforevery1breaths第5題Youfindapersoninaparklyingonthegroundandnotmoving.Asarescuer,whichofthefollowingshouldyouperformfirst?AGentlyshakethepersonandshout,"AreyouO.K.?"BRemovetheperson.COpenthecasualty'sairway.DCheckforapulse.Chapter12第1題Apatienthasdifficultytakingliquidmedicationsfromacup.Howshouldthenurseadministerthemedications?ARequestthatthephysicianchangetheordertotheIVroute.BAdministerthemedicationbytheIMroute.CUseaneedlelesssyringetoplacethemedicationinthesideofthemouth.DAddthedosetoasmallamountoffoodorbeveragetofacilitateswallowing.第2題Whenthenurseentersapatients’roomtoadministeramedication,hecallsoutfromt