【点名时间】——国际护士考试模拟题2

　　今天是国际护士考试模拟题与你第2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。

　　6. An eightt-year-old child has cerebral palsy,a tra-

　　cheostomy, and is oxygen dependent. During an initial visit to the home, the nurse would include which of the following questions in anvironmental safety assessment?

　　A. "Are there drafts or air leaks in the home?".

　　B. "Are there other children in the home?".

　　C. "Does anyone smoke in the home?".

　　D. "Are there pets in the home?".

　　7. A patient is admitted to the clinical unit after having a tracheostomy. When orienting the patient to the room, which of the following explanations would be most important for the nurse to include?

　　A. Reason for oxygen collar.

　　B. Use of call light.

　　C. Procedure for suctioning.

　　D. Ways to prevent infection.

　　8. Which of the following instructions should be given to the family to ensure the safety of a patient who recently began experiencing periodic grand mal seizures?

　　A. Place a tongue blade in the patient's mouth during a seizure.

　　B. Physically restrain the patient during the seizure.

　　C. Remove sharp objects in the patient's immediate environment.

　　D. Call the emergency medical squad when each seizure begins.

　　9.Staff nurses learn that a patient they have been caring for during the last few weeks has just been diagnosed with tuberculosis.When the nurses express concern about contracting tuberculosis themselves, the charge nurse's response should be based on which of the following statements?

　　A. Tuberculosis is easily treated with a short course of antibiotics.

　　B. The Mantoux test is used to confirm diagnosis of tuberculosis.

　　C. Tuberculosis is not highly infectious when standard precautions are followed.

　　D. Vaccination with Bacille Calmette Guerin(BCG) will be used to immunize the nurses against infection.

　　10. To restrain a three-year old child in preparation for a lumbar puncture, the nurse should

　　A. use soft arm restraints on both hands and legs to stabilize the child.

　　B. apply a jacket restraint to prevent sudden movements.

　　C. place the child in a flexed side-lying position.

　　D. place the child in a supine position on a papoose board.

　　昨天试题答案解析：

　　1. Key :A

　　Client Need: Management of Care

　　A. An advance directive is a written document that contains directives of the person's choices regarding end of life care. A person must have the cognitive and communicative abilities to execute decisions regarding their desires. It includes wishes for treatment options should the person become unable to do so.

　　B. A durable power of attorney for healthcare designates an individual to make medical decisions in case the patient is unable to do so.

　　C. A statement identifying the person as an organ donor may be included in an advance directive, but it is not the only information in an advance directive. This information would typically be included on an organ donor card.

　　D. A written statement authorizing a particular surgical procedure is a consent form.

　　2.Key:B

　　Clien Need: Management of Care

　　B. Individuals with cancer pain have a right to obtain optimal pain relief. Nurses caring for terminally ill patients with metastatic cancer have an ethical obligation to provide pain relief. A goal is to assist the patient to achieve as comfortable a death as possible.

　　A. While constipation may be a problem secondary to pain medications, it is not the priority intervention in the terminally ill cancer patient.

　　C. A goal in the care of a terminally ill cancer patient is not to prolong life, but to provide comfort. Preventing respiratory arrest would prolong life.

　　D. Many terminally ill patients no longer receive chemotherapy. Managing chemotherapy is the role of an oncologist.

　　3. Key: A

　　Client Need, Management of Care

　　A. In order for an informed consent to be valid. three basic criteria must be met. The patient's decision must be voluntary. the patient must be informed, and the patient must be competent to understand the information and alternatives. The registered nurse's signature as a witness indicates these criteria were met.

　　B. For an informed consent to be valid, it must be obtained before the administration of the patient's pre- operative medication.

　　C. The patient needs only to understand the information and alternatives. not describe the procedure.

　　D. Making a voluntary decision to have a procedure performed is only part of an informed consent.

　　4. Key: A

　　Client Need: Physiological Adaptation

　　A. Early hypoxic and hypocapnic changes result in restlessness. confusion, anxiousness. apprehension. agitation. lethargy and mental cloudiness.

　　B. Decreased urinary output is a clinical manifestation of hypovolemic shock, but occurs later than nervousness and apprehension.

　　C. During the compensatory stage of shock. the blood pressure is adequate to perfuse the vital organs.The systolic blood pressure does not drop to below 90 mmHg until the progressive stage of shock.

　　D. The heart rate is increased and the depth of ventilation is increased in the early stages of shock to compensate for the lactic acid produced due to anaerobic metabolism.

　　5. Key: A

　　Client Need: Psychosociai Adaptation

　　A. There is no indication for the use of seclusion with this patient. The use of seclusion or restraint that is not defensible as being necessary and in the client's best interest may result in false imprisonment of the client and liability for the nurse.

　　B. Battery is harmful or offensive touching of another person. This is not present in the scenario.

　　C. Invasion of privacy would involve sharing of information or discussion of the client's case without permission. There is no evidence that this occurred.

　　D. Charges of defamation can be brought if information regarding the client is divulged and that information ultimately harms the client's reputation.

　　责任编辑：杨璐

　　声明丨本文由宏景国际教育整理，转载请标明出处。