国际护士模拟试题15
今天是【点名时间】与你第15次见面。
昨天的5道试题简单吧！没错，从复习到掌握，就是这么简单！
今天，我们继续用模拟题来建立信任和树立信心。
71. A breast-feeding mother on her third postpartum day states that she is planning on using the (lactational amenorrhea method (LAM) for contraception. The most appropriate nursing response would be to inform the mother that
A. this method can be used for one year.
B. this method is effective if she is fully breast-feeding and menses has not returned.
C. she can supplement with formula for the night feedings.
D. she should check her basal temperature to determine effectiveness of the method.
72. Which of the following actions would be of the highest priority in the treatment of disseminated intravascular coagulation (DIC)?
A. Maintaining central blood volume.
B. Correcting the triggering cause.
C. Correcting the coagulation deficit.
D. Maintaining strict intake and output.
73. A patient is to begin taking alendronate (Fosamax). Which of the following statements should be included in the patient's teaching plan?
A. Crush the medication and mix with food.
B. Take the medication with one swallow of water.
C. Dissolve the medication under the tongue.
D. Remain upright for 30 minutes after swallowing the medication.
74. The nurse caring for a patient newly diagnosed with glaucoma should include which of the following instructions in the discharge teaching plan?
A. Do not drive for 15 minutes after using the eye drops.
B. Keep a reserve bottle of eye drops at home.
C. Discontinue eye drops when vision improves.
D. Use only eye drops that dilate the pupil.
75. The nurse accompanies a physician to the room of a newly admitted elderly patient with dementia. Upon examination, the patient has an extremely painful, reddened and enlarged abscess on the right elbow. The physician proceeds to incise the abscess area without anesthetic. and the patient cries out loudly in pain. The most appropriate immediate nursing action is to
A. provide pain medication after the procedure.
B. assist in restraining the patient during the procedure.
C. request that the physician stop the procedure.
D. attempt to distract the patient during the procedure.
66. Key: D
Client Need: Physiological Adaptation
D. The basic physiological defect caused by anemia is a decrease in the oxygen-carrying capacity of the blood and, consequently. a reduction in the amount of oxygen available to the cells. When the anemia develops slowly, the child usually adapts to the declining hemoglobin level in his/her body and can function quite well. When the hemoglobin level falls sufficiently low to produce clinical manifestations, the symptoms that result are due to tissue hypoxia. Manifestations include pallor and muscle weakness, and the child becomes fatigued easily. Central nervous system manifestations include headache. light-headedness, dizziness, irritability. slowed thought processes, decreased attention span,apathy and depression.
A. Abdominal pain and vomiting are not manifestations associated with iron deficiency anemia in a child.
B. Poor posture and unclear speech are not characteristic of a child with iron deficiency anemia.
C. Bradycardia is not seen in a child with a low hemoglobin level. Usually the child is tachycardic and has an increased cardiac output to compensate for the low hemoglobin level. Dyspnea on exertion is possible because of the decreased oxygen-carrying capacity of the blood.
67. Key: D
Client Need: Physiological Adaptation
D. The patient will most likely refuse any blood transfusions. Jehovah's Witnesses are generally opposed to transfusions, including banking their own blood.
A. In Judaism (orthodox and conservative), amputated limbs, organs or surgically removed tissue should be made available to the family for burial.
B. In Mexico, the curandero is a spiritual healer who travels about curing those with ailments caused by witches and sorcerers. It is assumed that they also cure regular illnesses as well.
C. Episcopalians. Methodists. Nazarenes, Presbyterians, Catholics and Lutherans all receive communion. Jehovah's Witnesses do not believe in the concept of Holy Communion.
68. Key: C
Client Need: Prevention and Early Detection of Disease
C. The best time to do breast self-examination is after your period, when breasts are not swollen or tender.
A. Breast self-examination should be done after menstruation. If the patient does not have regular periods or sometimes skip a month, breast self-examination should be done on the same day every month.
B. The finger pads or the top third of each finger should be used to do breast self-examination. It is recommended that the patient do breast self-examination while bathing so that the soapy hands will glide over the wet skin.
D. The finger pads or the top third of each finger should be used to do breast self-examination.
69. Key: A
Client Need: Physiological Adaptation
A. Systemic hydration keeps secretions moist and easier to expectorate. Fluids must be given with caution if right or left-sided heart failure is present.
B. With asthma, there should be a balance between rest and physical activity. Activity levels should be increased as tolerated so that a balance between oxygen supply and demand exists.
C. Oxygen should be given when the oxygen saturation is less than 95%. Oxygen will have no effect on thinning the secretions.
D. With asthma. there is a cough with or without mucous production. At times, the mucous is so tightly wedged in the narrow airways that the patient cannot cough it up. The secretions need to be thinner so they can be expectorated.
70. Keys C
Client Need: Psychosocial Adaptation
C. For individuals with borderline personality disorder, self-destructive behaviors are responses to their sensitivity to present or anticipated stress or loss, particularly related to a significant other. Self-destructive behaviors may manifest as self-mutilation. substance abuse, sexual acting out or other irresponsible behaviors.
A. Individuals with borderline personality disorder respond to loss with intense affective displays of anger, anxiety and irritability. They rarely display apathy.
B. There is no evidence that individuals with borderline personality disorder become disoriented in response to loss.
D. Individuals with borderline personality disorder may display transient paranoid ideation or dissociative symptoms, but psychosis is not a characteristic feature.
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