国际护士模拟试题12
今天是【点名时间】与你第12次见面。
如果条件允许的话，小编建议，正在做试题的你，为自己泡杯咖啡或者倒杯果汁，然后再进入题中。
因为一天的劳累工作后，值得对自己好点。做题也不要把自己逼得太紧，才能达到最满意的境界。
56. Which of the following observations, if made in a patient with a left arm arteriovenous(AV) shunt prior to hemodialysis, should be reported to the physician?
A. Absence of a palpable thrill over the shunt.
B. Presence of an audible bruit in the left arm.
C. Overbed instructions not to take a blood pressure in the left arm.
D. Overbed instructions that blood specimens are not to be taken from the left arm.
57. The nurse caring for a patient in pre-term labor should be aware that the patient may exhibit which of the following side effects when administered intravenous terbutaline sulfate(Brethine)?
A. Uterine hypertonia.
B. Epistaxis.
C, Tachycardia.
D. Dysuria.
58. A nurse notices the mother of a hospitalized one-month-old boy sitting and talking on the telephone while the infant lies in the crib crying.Which of the following statements by the nurse would be most appropriate?
A. "Your baby is crying and needs your attention now.”.
B. "Let's check your baby together to see what he needs.”.
C ."Why do you think your baby is crying at this time?".
D. "When did you last feed your baby?".
59. An 85-year-old is admitted for continuous.cramping pain as the result of intermittent
claudication. When conducting an initial physical assessment, the nurse is unable to palpate the pedal pulses. Which of the following actions should the nurse take first?
A. Notify the physician and anticipate emergency surgery.
B. Assess the apical and radial pulses for any irregularity and notify the physician.
C. Elevate the foot of the bed and apply warm compresses.
D. Obtain a Doppler and recheck the pedal pulses.
60. An operating room nurse is opposed to abortion based on moral principles. When assigned to circulate for a pregnancy termination case, the nurse should take which of the following actions?
A. Discuss her beliefs with the patient.
B. Ask the supervisor to assign another nurse to the case.
C. Request an ethics panel be convened to review the case.
D. Leave the room during the time that the fetus is aborted.
51. Key: B
Client Need: Growth and Development
B. The brachial blood pressuree is highest when the woman is sitting. The patient should be given a chance to relax and should have her arm at the level of the heart. The blood pressure should be taken with the proper size cuff in the same arm at each visit.to relax and should have her proper size cuff in the same will be falsely low. If the arm is above the level of the heart. the reading will be falsely low.An arm below the heart produces a falsely high reading.
A. Blood pressure, both diastolic and systolic, decreases in the second trimester.
C. Arterial blood pressure is the lowest in the left lateral position and intermediate in the supine position.
D. Blood pressure should not be taken in the standing position in the pregnant patient.
52. Key: A
Client Need: Psychosocial Adaptation
A. Schizoid personality disorder manifests as a pervasive pattern of detachment from social relationships and restricted range of expression. The inability to experience pleasure is one of the characteristic features.
B. Jealousy and quickness to react in anger is not a defining characteristic of any personality disorder.
C. Insensitivity to the welfare of others is a characteristic feature of antisocial personality disorder.
D. Lack of guilt or social conscience is a characteristic feature of antisocial personality disorder.
53. Key: D
Client Need: Safety and Infection Control
D. Infants rarely receive more than 1 ml (50 mcg or 0.05 mg) in one dose. A higher dose is an immediate warning of a dosage error. To ensure safety. ask another staff member to check the calculation before giving the drug. This dosage is too high, and the doctor should be questioned.
A. This dosage is too high. The normal dosage for infants is 50 mcg or .05 mg.
B. The pulse should be checked. It should not be below 90-110 beats/min in infants or below 70 beats /min in older children. The potassium level should also be checked.
C. The serum digoxin level should be checked for digoxin toxicity. The signs of digoxin toxicity in children are nausea, vomiting, anorexia. bradycardia and dysrhythmias.
54. Key: B
Client Need: Safety and Infection Control
B. Poisoning remains a significant health concern for children under six years of age. Most poisonings are caused when children ingest hazardous household substances. When a child accidentally ingests a hazardous substance, the mother or caretaker's first response should be to call the local Poison Control Center. This should be done before initiating any interventions, because instructions on the product label may not give the correct information for treatment.
A. Inducing vomiting with syrup of ipecac should be done only if instructed by the poison control center.Do not induce vomiting if the victim is unconscious, convulsing or has an absent gag reflex. Do not induce vomiting if the poison is a low-viscosity hydrocarbon, pesticide. strong acid or alkali.
C. and D.
Attempting to dilute the poison with water or absorb the poison with bread is contraindicated. The poison control center will provide the correct intervention for the type of poison ingested.
55. Key: A
Client Need: Pharmacological and Parenteral Therapies
A. Fatigue is a side effect associated with rofecoxib (Vioxx).
B. Hypertension, rather than hypotension, is a side effect of Vioxx. Tachycardia is unrelated to Vioxx administration.
C. Dyspnea and chest pain are associated with cardiac problems rather than Vioxx administration.
D. Fatigue is a side effect of Vioxx, but not irritability.
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