2024年護(hù)理專業(yè)英語考試題庫

1.Anursehasbeenworkingwithabatteredwomanwhoisbeingdischargedbyherhusband.Thenursesays,“Allthisworkwithherhasbeenuseless.She'sjustgoingbacktohimasusual.”whichofthefollowingstatementsbyanursingcolleaguewouldbemosthelpfultothisnurse?A."Herreasonsforstayingarecomplex.Shecanleaveonlywhensheisreadyandcanbesafe."B.“Iknowitisfrustratingtoworkwithclientswhodon'tfollowouradvice."C."Youdidyourbest.Youwillseeheragainandhaveanotherchance."D.“Thesewomenalmostneverleaveforgoodbecauseoftheiremotionalandfinancialdependency."正確答案:A解析：1.一名護(hù)士一直在和一名被丈夫出院的受虐婦女一起工作。護(hù)士說：“所有這些和她的工作都毫無用處。她只是像往常一樣回到他身邊?！币韵伦o(hù)理同事的哪些陳述對(duì)這個(gè)護(hù)士最有幫助？A.“她留下來的理由很復(fù)雜。她只有在準(zhǔn)備好并且能夠安全后才能離開。”B.“我知道，與那些不聽從我們建議的客戶合作是令人沮喪的?！盋."你已經(jīng)盡力了。你會(huì)再見到她，還有一次機(jī)會(huì)。”D."這些女性，因?yàn)樗齻兊那楦泻徒?jīng)濟(jì)依賴，幾乎從不永遠(yuǎn)離開?！贝穑篈

2.Thenurseinacommunityhospitalhasbeennotifiedthata6-month-oldinfantisbeingadmittedfromtheemergencydepartmentwithdehydrationsecondarytoviralgastroenteritis.Whichofthefollowingroomassignmentsisthemostappropriateforthisinfant?A.Asemiprivateroomwithan8-year-oldchildwhohashadanappendectomy.B.Asemiprivateroomwithal0-year-oldchildwithaclosedheadinjury.C.Aprivateroom.D.Asemiprivateroomwitha4-year-oldchildwithleukemia.正確答案:C解析：2.一家社區(qū)醫(yī)院的護(hù)士已得到通知，一名6個(gè)月大的嬰兒因病毒性胃腸炎所致的脫水而從急診科入院。以下哪一種房間作業(yè)最適合這個(gè)嬰兒？A.一間8歲闌尾切除術(shù)的半私人房間。B.一間半私人房間，有一個(gè)10歲的孩子頭部閉合受傷。C.私人房間。D.一間帶有一名4歲白血病患兒的半私人房間。答案：C

3.Forwhichofthefollowingwouldthenursebeespeciallyalertwhencaringforatermneonatewhoweighed10poundsatbirth,1hourafteravaginaldelivery?A.Hyperglycemia.B.Hypercalcemia.C.Hypermagnesemia.D.Hyperbilirubinemia.正確答案:D解析：3.在照顧陰道分娩1小時(shí)后體重10磅的足月新生兒時(shí)，護(hù)士會(huì)特別警惕？A.高血糖。B.高鈣血癥。C.高鎂血癥。D.高膽紅素血癥。答案：D

4.Afemaleclientwithinfertilityrelatedtoanovulatorycyclesisprescribedmenotropins(Pergonal).Whichofthefollowing,ifstatedbytheclientasapossibleadverseeffectofthismedicationindicatessuccessfulteaching?A.Pulmonaryedema.B.Ovarianenlargement.C.Visualdisturbances.D.Breasttenderness.正確答案:B解析：4.與無排卵周期相關(guān)的女性不孕患者使用膜蛋白（妊娠）。如果客戶聲明該藥物可能產(chǎn)生的副作用，以下哪一種表明教學(xué)成功？A.肺水腫。B.卵巢腫大。C.視覺干擾。D.乳房壓痛。答：B

5.Afamilyhasbeennotifiedthattheirsonisbraindead,andthephysicianhasdiscussedthepossilbilityofdonatingorgans.ThenurseisawarethatthereferralsourcesresponsiblefororganrecoveryintheUnitedStatesaretheA.OrganandTissueProcurementOrganizations.B.AmericanTransplantAssociation.C.AmericanHospiceFoundation.D.AmericanAssociationofCriticalCareNurses.正確答案:A解析：一個(gè)家庭被告知他們的兒子已經(jīng)腦死亡，醫(yī)生也討論了捐獻(xiàn)器官的可能性。護(hù)士知道，在美國(guó)，負(fù)責(zé)器官恢復(fù)的轉(zhuǎn)診來源是A.器官和組織采購(gòu)組織。B.美國(guó)移植協(xié)會(huì)。C.美國(guó)臨終關(guān)懷基金會(huì)。D.美國(guó)重癥監(jiān)護(hù)護(hù)士協(xié)會(huì)。答：A

6.Thenurseisinvolvedinpreoperativeteachingwithaclientwhowillbeundergoingalungresection,Theclientistoldthattwochesttubeswillbeplacedduringsurgery.ThenurseexplainsthatthepurposeofthelowerchesttubeistoA.preventclots.B.removeair.C.removefluid.D.facilitatemilkingofthetubes.正確答案:C解析：6.護(hù)士參與術(shù)前教學(xué)，病人將接受肺切除術(shù)，客戶被告知手術(shù)期間將放置兩根胸管。護(hù)士解釋說，下胸管的目的是為了A.防止凝塊。B.清除空氣。C.清除液體。D.便于管子的擠奶。答案：C

7.DepressioninanolderadultdiffersfromdepressioninayoungerpersonbecauseA.sadnessofmoodisusuallypresentbutitismaskedbyothersymptoms.B.impairmentofcognitionusuallyisnotpresent.C.psychosomatictendenciesdonottendtodominate.D.traditionalantidepressanttherapiesarelesseffective.正確答案:A解析：7.老年人的抑郁癥不同于年輕人的抑郁癥是因?yàn)锳.情緒的悲傷通常存在的，但它被其他癥狀所掩蓋。B.認(rèn)知功能障礙通常不存在。C.心身傾向并不占主導(dǎo)地位。D.傳統(tǒng)的抗抑郁療法的效果較差。答：A

8.AprimaryconcernofthehospitaladolescentwouldbeA.respectfortheneedforprivacy.B.allowingfriendstovisitafterhours.C.wearingahospitalgown.D.thefearoflossofcontrolwheninpain.正確答案:D解析：8.醫(yī)院青少年的一個(gè)主要關(guān)注點(diǎn)將是A.尊重對(duì)隱私的需要。B.允許朋友在下班后去拜訪。C.穿著一件住在醫(yī)院的禮服。D.對(duì)在疼痛時(shí)失去控制的恐懼。答案：D

9.A20-year-oldsingleparentbringsher3-year-oldsonintotheemergencydepartmentbecausehefell.Thechildhasbruisesonhisface,armsandlegs.Hismothersaysthatshedidnotwitnessthefall.Thenursesuspectschildabuse.Whileexaminingthechild,themothersays,“SometimesIguessIamprettyroughwithhim.IamaloneandIjustdon’tknowhowtomanagehim.”Thenursewouldanticipatereferringthemothertowhichofthefollowingtypesofprograms?A.Aprogramforsingleparents.B.Aparentingeducationprogram.C.Awoman'ssupportgroup.D.Asupportgroupforabusiveparents.正確答案:B解析：9.一位20歲的單親媽媽把她3歲的兒子帶進(jìn)了急診科。這孩子的臉上、胳膊和腿上都有瘀傷。他的母親說她沒有目睹這次墜落。護(hù)士懷疑是虐待兒童。在檢查孩子時(shí)，母親說：“有時(shí)候我想我對(duì)他很粗暴。我一個(gè)人，我只是不知道如何管理他。”護(hù)士會(huì)期待把母親轉(zhuǎn)介到以下哪一種類型的項(xiàng)目中？A.一個(gè)針對(duì)單親父母的計(jì)劃。B.一個(gè)育兒教育計(jì)劃。C.一個(gè)婦女的支持小組。D.一個(gè)支持虐待性父母的支持小組。答：B

10.Themotherof2-year-oldchildwhohasbeenbittenbythefamilydogasksthenursewhattodoaboutthebite.Whichofthefollowingwouldbethemostappropriaterecommendationtothismother?A.Youneedtotakethechildtothelocalurgentcarecenterimmediately.B.Washthebiteareawithlotsofrunningwaterandthenchecktheinjury..C.Determinewhenthechild'slatesttetanusvaccinewasadministered.D.Makeanappointmenttoseethechild'sphysiciannowtostartrabiesshots.正確答案:B解析：10.被家庭狗咬傷的兩歲孩子的母親問護(hù)士該如何處理。以下哪一個(gè)將是對(duì)這位母親最合適的建議？A.你需要立即把孩子送到當(dāng)?shù)氐募本戎行?。B.用大量的自來水清洗咬合區(qū)，然后檢查受傷情況。C.確定何時(shí)接種該兒童最新的破傷風(fēng)疫苗。D.現(xiàn)在預(yù)約看孩子的醫(yī)生開始注射狂犬病。答：B

11.Patientwhohasdiabetesexperiencesweaknessandtremors.Whichofthefollowingactionswouldanursetakefirst?A.Obtainingaurinespecimenfromtheclient.B.Givingtheclientaconcentratedsourceofglucose.C.Checkingtheclient'smostrecentbloodglucoselevel.D.Administeringtheclient'sprndoseofinsulin.正確答案:C解析：糖尿病患者會(huì)出現(xiàn)虛弱和震顫。護(hù)士會(huì)先采取以下哪些行動(dòng)？A.從病人那里獲取尿液標(biāo)本。B給客戶提供一個(gè)濃縮的葡萄糖來源。C.檢查客戶最近的血糖水平。D.給予客戶的prn劑量的胰島素。

12.Anurseisgivinginstructionsabouttheuseofinhalantmedicationstoaclientwhohasasthma.Whichofthefollowingstatements,ifmadebytheclient,indicatesthattheclientunderstandstheinstructions?A."IwillusethesteroidinhaleronehourbeforeIusethebronchodilator."B.“IwillusethebronchodilatorbeforeIusethesteroidinhaler.”C.“Ineedtotakethesemedicationsonehouraftereachmeal.”D.“Ineedtoalternatethesequenceofinhaleradministrations.”正確答案:B解析：2.一名護(hù)士正在給患有哮喘的病人說明吸入劑藥物的使用。以下哪項(xiàng)陳述，表明客戶理解指令？A.“我會(huì)在使用支氣管擴(kuò)張劑前一小時(shí)使用類固醇吸入器?！盉.“在我使用類固醇吸入器之前，我會(huì)使用支氣管擴(kuò)張器?！盋."每飯一小時(shí)后我需要服用這些藥物?！盌."我需要交替使用吸入器的順序?！贝穑築

13.Whichofthefollowinginstructionsshouldanurseincludeinthedischargeteachingforaclient,whohasbeendiagnosedwithhepatitisB?A."Avoidalcoholicbeverages."B."Consumeadietlowinfat."C."Stayinadarkenedroom"D."Takeacetaminophen(Tylenol)forheadache."正確答案:A解析：3.一名被診斷為乙型肝炎的病人在出院教學(xué)中應(yīng)包括以下哪些說明？A.“避免酒精飲料?！盉.“吃低脂肪的飲食?！盋."呆在一個(gè)黑暗的房間里?！盌."服用對(duì)熱息痛氨基酚（泰諾）來治療頭痛?！贝穑篈

14.Anurseteachespursed-lipbreathingtoaclientwhohaschronicobstructivepulmonarydisease(COPD).Whichofthefollowingstatementindicatestheclientunderstandstheinstructions?A."Iwillmaintainasupinepositionduringtheexercises."B."Iwillalternatepositionsduringtheexercises."C."IwillexhalefortwiceaslongasIinhale."D."Iwillinhaleandexhalethroughmynose."正確答案:C解析：4.一名護(hù)士向患有慢性阻塞性肺疾?。–OPD）的病人教授噘嘴呼吸。以下哪一項(xiàng)陳述表明客戶理解這些指令？A.“我會(huì)在練習(xí)過程中保持仰臥位?！盉.“我將在演習(xí)中交替位置?！盋."我呼氣的時(shí)間是我吸氣的時(shí)間的兩倍。”D."我會(huì)通過鼻子吸氣和呼氣?！贝鸢福篊

15.Whenaclienthasanepisodeofepistaxis,whichofthefollowingactionswouldanursetakefirst?A.Applyingicetothebackoftheclient'sneckB.Tippingtheclientbackwardandencourageswallowing.C.Determiningiftheclienthasahistoryofhypertension.D.Havingtheclientleanforwardandpinchthenose正確答案:D解析：當(dāng)病人出現(xiàn)鼻出血時(shí)，護(hù)士會(huì)先采取以下哪些措施？A.在客戶的脖子后面敷上冰B.向客戶倒倒，鼓勵(lì)吞咽。C.確定患者是否有高血壓病史。D.讓客戶向前傾，捏捏鼻子答案：D

16.Whena12-year-oldchildhasadiagnosisofappendicitis,whichofthefollowingmanifestationswouldbemostimportantforthenursetofollow?A.Tympanictemperatureof101.2F(38.4℃)B.Absenceofstoolfor24hours.C.Nauseawhenexposedtofoododors.D.Cessationofabdominalpain.正確答案:D解析：當(dāng)一個(gè)12歲的孩子被診斷為闌尾炎時(shí)，以下哪一種表現(xiàn)將是護(hù)士最重要的隨訪？A.鼓室溫度為101.2華氏度（38.4℃）B.24小時(shí)無大便。C.暴露在食物的氣味下會(huì)感到惡心。D.停止腹痛。答案：D

17.Whichofthefollowingstatements,ifmadebyaclientdiagnosedwithschizophreniaindicatestoanursethattheclientneedsadditionalinstructionregardinghaloperidol(Haldol)?A."IcanstopmymedicinewhenIdon'thearthevoicesanymore."B."I'lltakemycogentinifmyneckfeelsstiff."C."I'mgoingtoeatbrancerealeverymorning"D."IhavetowearahatwhenIgotothebeach."正確答案:A解析：如果診斷為精神分裂癥的客戶表明客戶需要關(guān)于氟哌啶醇（氟哌啶醇）的額外指導(dǎo)？A.“當(dāng)我再也沒有聽到這些聲音時(shí)，我就可以停藥了?！盉.“如果我的脖子僵硬，我就拿我的認(rèn)知?！盋."我要每天早上都吃麥麩麥片?！盌."我去海灘時(shí)必須戴上帽子?！贝穑篈

18.Aclientwhohadallacutemyocardialinfarctioncomplainsofseveresub-sternalpain.Whichofthefollowingnursinginterventionswouldbemostappropriate?A.Administeringtheprescribedmorphine.B.Obtaininganelectrocardiogram.C.Encouragingslow,deepbreathing.D.Eliminatingenvironmentalstressors.正確答案:A解析：所有有急性心肌梗死的病人主訴嚴(yán)重的胸骨下疼痛。以下哪種護(hù)理干預(yù)措施最合適？A.使用規(guī)定的嗎啡。B.獲得一個(gè)心電圖。C.鼓勵(lì)緩慢、深的呼吸。D.消除環(huán)境壓力源。答：A

19.Whichofthefollowingstatementsifmadebyaclientwhohasgastroesophagealrefluxdisease(GERD),wouldsupportanursingdiagnosisofknowledgedeficit?A.'I’llliedownfor30minutesaftermeals."B.'I’llrestrictspicyfoodsinmydiet."C."Ishouldsleepwiththeheadofthebedelevated."D."Ishoulddecreasemyintakeofcaffeine."正確答案:A解析：如果是由患有胃食管反流病（GERD）的患者提出的，以下哪些陳述將支持知識(shí)缺陷的護(hù)理診斷？A.“飯后我將躺下30分鐘?！盉.“我會(huì)限制我的飲食中的辛辣食物?！盋."我應(yīng)該抬起床頭睡覺?！盌."我應(yīng)該減少咖啡因的攝入量?！贝穑篈

20.Toreducetheriskoffetalneuraltubedefects,anursewouldaddwhichofthefollowingnutrientsupplementstothechild-bearingwoman'sdiet?A.Ferroussulfate(Feosol).B.Calciumcarbonate(Tums).C.Folicacid(Folvite).D.Ascorbicacid(VitaminC).正確答案:C解析：為了減少胎兒神經(jīng)管缺陷的風(fēng)險(xiǎn)，護(hù)士會(huì)在育齡婦女的飲食中添加以下哪些營(yíng)養(yǎng)補(bǔ)充劑？A.硫酸亞鐵（Feosol）。B.碳酸鈣（Tums）。C.葉酸（葉酸）。D.抗壞血酸（維生素C）。答案：C

21.Topromoteoptionalfunctioninapatientwhohasrheumatoidarthritis,whichofthefollowinginstructionsshouldanurseincludeintheclient'srehabilitationplan?A.Applyicetoaffectedjoints.B.Massagejointswheninflamed.C.Performdailyweight-bearingexercisesD.immobilizepainfuljoints.正確答案:C解析：1.為了促進(jìn)類風(fēng)濕性關(guān)節(jié)炎患者的可選功能，護(hù)士應(yīng)該在客戶的康復(fù)計(jì)劃中包括以下哪些說明？A.在受影響的關(guān)節(jié)上敷上冰。B.當(dāng)關(guān)節(jié)發(fā)炎時(shí)，可以按摩關(guān)節(jié)。C.進(jìn)行日常的負(fù)重練習(xí)D.固定疼痛的關(guān)節(jié)。答案：C

22.Whichofthefollowingsafetymeasuresshouldanurseteachtoaclientwhoisreceivingtreatmentwithsodiumiodide1131(Iodotope)?A.Flushthetoilettwiceafterurinating.B.Weargloveswhilepreparingfood.C.Limitexposuretodirectsunlight.D.Disinfecteatingutensilsafteruse.正確答案:A解析：2.護(hù)士應(yīng)該向正在接受碘化鈉1131（碘多波圖）治療的客戶傳授以下哪些安全措施？A.小便后沖進(jìn)馬桶兩次。B在準(zhǔn)備食物時(shí)要戴上手套。C.限制暴露在陽光直射下。D.使用后消毒。答：A

23.Whichofthefollowingstatementsifmadebyaclient,indicatesthattheclientunderstandstheprimarycauseofpepticulcerdisease?A."Aspicydietcontributestoulcerdevelopment."B."Seasonalchangesareassociatedwithulcerdisease."C.”Exeutivejobpositionspredisposepeopletoulcerformation.”D."Infectionwithhelicobacterpyloricausesulcers:'正確答案:D解析：3.以下客戶所做的哪些陳述表明客戶了解消化性潰瘍疾病的主要原因？A.“辛辣的飲食會(huì)導(dǎo)致潰瘍的發(fā)展?！盉.“季節(jié)性的變化與潰瘍疾病有關(guān)?！盋."連續(xù)的工作崗位使人們更容易形成潰瘍?！盌."幽門螺桿菌感染會(huì)導(dǎo)致潰瘍：”答案：D

24.Whichofthefollowingfoods,ifchosenbyaclientwhoistakingamonoamineoxidaseinhibitor(MAOl),indicatesthattheclientisfollowingtheprescribeddiet?A.Prunes.B.Agedcheese.C.Freshvegetables.D.Sausage.正確答案:C解析：4.如果一個(gè)正在服用單胺氧化酶抑制劑（MAOl）的客戶選擇了以下哪一種食物，則表明該客戶正在遵循規(guī)定的飲食？A.修剪。B陳釀奶酪。C.新鮮蔬菜。D.香腸。答案：C

25.Aclientsaystothenurse,"Iwanttotellyousomething,butyoumustnottellanyoneelse."WhichofthefollowingresponsebythenurseisthemostappropriateA."I'mgladyoucantrustme."B."Ihavetorevealanythingthatwouldbeessentialtoyourtreatment."C."Thenurseandclienthaveaspecialrelationship."D."Iambondtokeepsecretbecauseofconfidentiality."正確答案:B解析：5.一位客戶對(duì)護(hù)士說：“我想告訴你一些事，但你不能告訴其他人?！弊o(hù)士的下列哪一種反應(yīng)是最合適的A.“我很高興你能相信我?！盉.“我必須透露任何對(duì)你的治療至關(guān)重要的事情?！盋."護(hù)士和病人有一種特殊的關(guān)系?！盌."由于保密的原因，我必須保密。”答：B

26.Threehoursafterreceivingallinsulininjection(RegularInsulin),aclientisdiaphoretic.Whichofthefollowingactionsshouldthenursetakefirst?A.HelptheclienttoputonadrynightgownB.Asktheclientforaurinespecimen.C.Givetheclientaglassofjuicedrink.D.Instructtheclienttostayinbeduntilseenbythephysician.正確答案:C解析：6.在接受所有胰島素注射（常規(guī)胰島素）3小時(shí)后，病人出現(xiàn)透析。護(hù)士應(yīng)該先采取以下哪些措施？A.幫客戶穿上干睡衣B.向病人索要尿液樣本。C.給客戶一杯果汁飲料。D.指示病人躺在床上，直到由醫(yī)生診治。答案：C

27.Aclienthasjustbeenhospitalizedfortreatmentofnursecompulsivehandwashing.Thenurseshouldinterveneifstaffwhichmembersareseenbehavinginofthefollowingways?A.Talkingtooneanotherwithintheclient'sview.B.Changingtheclient'sroutine.C.Turingawayfromtheclient.D.Touchingtheclient.正確答案:B解析：7.一名病人剛剛住院治療護(hù)士強(qiáng)迫性洗手。如果工作人員看到哪些成員有以下行為，護(hù)士應(yīng)該進(jìn)行干預(yù)？A.在客戶的視野內(nèi)相互交談。B.更改客戶端的例程。C.圖靈遠(yuǎn)離客戶。D.觸摸客戶端。答：B

28.AclientwhohasKaposi'ssarcomahasallofthefollowingnursingdiagnosis.Towhichoneshouldthenursegivepriority?A.Alteredthoughtprocessesrelatedtolesions.B.Alteredhealthmaintenancerelatedtononcompliance.C.Alterednutritionrelatedtoanorexialessthanbodyrequirements.D.Hopelessnessrelatedtoinabilitytocontroldiseaseprocess正確答案:D解析：8.一個(gè)患有卡波西肉瘤的病人有所有以下的護(hù)理診斷。護(hù)士應(yīng)該優(yōu)先考慮哪一個(gè)問題嗎？A.與病變相關(guān)的思維過程的改變。B.與不合規(guī)相關(guān)的健康維護(hù)的改變。C.與厭食癥相關(guān)的營(yíng)養(yǎng)改變低于身體需求。D.絕望與無法控制疾病的過程有關(guān)答案：D

29.Aclientwhohaslowbackpainsaystoanurse,"Ifeelthepaindowntomyankle."Whichofthefollowingactionswouldthenursetakefirst?A.Teachmuscle'srelaxingexercises.B.Encouragefrequentrestperiods.C.Assesssensationofthelowerextremities.D.Administertheprescribedpainmedication正確答案:C解析：9.一位患有腰痛的病人對(duì)護(hù)士說：“我感到疼痛到腳踝?！弊o(hù)士會(huì)先采取以下哪些行動(dòng)？A.教肌肉的放松練習(xí)。B.鼓勵(lì)頻繁的休息時(shí)間。C.評(píng)估對(duì)下肢的感覺。D.管理處方的止痛藥答案：C

30.Whichofthefollowingstatements,ifmadebyaclientwhobadatotalhipreplacement,wouldindicatetoanursethatthedischargeteachinghasbeeneffective?A."Iwillneedtobuyanexercisebike."B."Icanbendtotiemyshoelaces."C."Icansitwithmylegscrossedattheknee."D."Iwillneedtomakemytoiletseathigher."正確答案:D解析：10.如果是一個(gè)做了全髖關(guān)節(jié)置換術(shù)的病人，以下哪些陳述會(huì)向護(hù)士表明出院教學(xué)是有效的？A.“我需要買一輛健身自行車。”B.“我可以彎下腰去系鞋帶。”C."我可以雙腿交叉著膝蓋?！盌."我需要讓我的馬桶座圈更高?！贝鸢福篋

31.AnadolescentwithBulimianervosawasadmittedtothepsychiatricunit.Whichactionisfocusedonclient'snutritionalneeds?A.Encouragetheadolescenttoexpressofhisfeelingabouthospitalization.B.Encouragetheadolescenttotakefavoritefoodtothehospital.C.staywiththeadolescentatmealtimeandonehourafter.D.Weightheadolescenteverymorning.正確答案:C解析：1.一名患有神經(jīng)性貪食癥的青少年進(jìn)入了精神病院。哪些行動(dòng)主要集中于客戶的營(yíng)養(yǎng)需求？A.鼓勵(lì)青少年表達(dá)他對(duì)住院治療的感受。B.鼓勵(lì)青少年帶著他們最喜歡的食物去醫(yī)院。C.在用餐時(shí)間和一小時(shí)后和青少年呆在一起。D.每天早上稱重這個(gè)青少年。答案：C

32.Anurseisreadingaphysician'sprogressnotesintheclient'srecordandreadsthatthephysicianhasdocumented"insensiblefluidlossofapproximately800mldaily".ThenurseunderstandsthatthistypeoffluidlosscanoccurthroughA.thegastrointestinal(GI)tract.B.urinaryoutputC.wounddrainage.D.theskin正確答案:D解析：2.一名護(hù)士正在閱讀病人記錄中的醫(yī)生的進(jìn)展記錄，并看到醫(yī)生記錄了“每天大約800毫升的麻木的液體流失”。護(hù)士知道這種類型的液體流失可以通過A.胃腸道（GI）。B.尿排出量C.傷口引流。D.皮膚答案：D

33.Aclientwithahistoryofaseizuredisorderwhohasbeencompliantwithmedicationtherapyisadmittedtothehospitalwithseizureactivity.Phenytoin(Dilantin)isadministeredtotheclientbytheIVpushroute,andsubsequentlyaserumphenytoinlevelisdrawn.AnurseevaluatesthatthemedicationtherapyhasbeenmosteffectiveifthelaboratoryresultisA.3μg/ml.B.8μg/ml.C.16μg/ml.D.24g/ml正確答案:C解析：3.有癲癇病史的病人已接受藥物治療，因癲癇活動(dòng)入院。苯妥英（苯妥英）通過靜脈注射給藥，隨后繪制血清苯妥英水平。如果實(shí)驗(yàn)室結(jié)果是，護(hù)士評(píng)估藥物治療是最有效的A.3μg/ml.B.8μg/ml.C.16μg/ml.D.24g/ml答案：C

34.Aclientwithatrialfibrillationwhoisreceivingmaintenancetherapyofwarfarinsodium(Coumadin)hasaprothrombintime(PT)of30seconds.OnthebasisofthePTlevel,anurseanticipateswhichofthefollowingorders?A.Holdingthenextdoseofwarfarinsodium.B.AdministeringthenextdoseofwarfarinsodiumC.IncreasingthenextdoseofwarfarinsodiumD.Addingadoseofheparin.正確答案:A解析：4.房顫患者接受華法林鈉（香豆素）維持治療的患者，凝血酶原時(shí)間（PT）為30秒。根據(jù)PT水平，護(hù)士會(huì)預(yù)測(cè)以下哪一種命令？A服用下一劑華法林鈉。B.給藥下一劑華法林鈉C.增加下一個(gè)劑量的華法林鈉D加入一定劑量的肝素。答：A

35.Anadultclientwithahistoryofgastrointestinal(GI)bleedinghasaplateletcountof300000cells/μL.Whichactionbyanurseismostappropriateuponreadingthisreport?A.Reporttheabnormallylowcount.B.Reporttheabnormallyhighcount.C.Placetheclientonbleedingprecautions.D.Placethenormalreportintheclient'smedicalrecord.正確答案:D解析：5.有胃腸道（GI）出血病史的成年患者的血小板計(jì)數(shù)為30萬細(xì)胞/μL。在閱讀這份報(bào)告后，護(hù)士的哪種行動(dòng)最合適？A.報(bào)告異常低的計(jì)數(shù)。B.報(bào)告異常高的計(jì)數(shù)。C.讓病人采取防止出血的預(yù)防措施。D.將正常的報(bào)告放入客戶的病歷中。答案：D

36.Anurseispreparingtocareforaclientwhohashadasupratentorialcraniotomy.Thenurseplanstoplacetheclientinwhichposition?A.Prone.B.Supine.C.Semi-Fowler's.D.Dorsalrecumbent.正確答案:C解析：6.一名護(hù)士正在準(zhǔn)備照顧一名做過幕上開顱手術(shù)的病人。護(hù)士計(jì)劃把病人安排在哪個(gè)位置上？A.易感。B.抑制。C.半福勒的。D.背臥。答案：C

37.Aclientreceivingtotalparentalnutrition(TPN)complainsofaheadache.Anursenotesthattheclienthasanincreasedbloodpressure,boundingpulse,jugularveindistention,andcracklesbilaterally.ThenurseinterpretsthattheclientisexperiencingwhichcomplicationofTPNtherapy?A.Hyperglycemia.B.Airembolism.C.Sepsis.D.Fluidoverload.正確答案:D解析：7.一個(gè)接受父母完全營(yíng)養(yǎng)（TPN）的客戶抱怨頭痛。一名護(hù)士注意到病人血壓升高，脈搏跳動(dòng)，頸靜脈擴(kuò)張，兩側(cè)有裂紋。護(hù)士解釋說，病人正在經(jīng)歷TPN治療的哪些并發(fā)癥？A.高血糖。B.空氣栓塞。C.膿毒癥。D流體過載。答案：D

38.Anurseischangingthecentrallinedressingofaclientreceivingtotalparenteralnutrition(TPN).Thenursenotesthatthecatheterinsertionsiteappearsreddened.Thenursenextassesseswhichofthefollowingitems?A.Tightnessoftubingconnections.B.Client'stemperature.C.Expirationdateonthebag.D.Timeoflastdressingchange.正確答案:B解析：8.一名護(hù)士正在更換一名接受全腸外營(yíng)養(yǎng)（TPN）的病人的中心線敷料。護(hù)士注意到導(dǎo)管插入部位呈紅色。護(hù)士接下來會(huì)評(píng)估以下哪一個(gè)項(xiàng)目？A.管道連接件的緊密性。B.客戶的溫度。C.包上的有效期。D.最后一次換衣的時(shí)間。答：B

39.At8:00am,anursecheckstheamountofsolutionleftinatotalparenteralnutrition(TPN)infusionbagforanassignedclient.Itisa3000mLbagwithl000mLremaining.Thesolutionisrunningatarateof100mL/hr.Thebagwashungthepreviousdayat12:00noon.ThenurseplanstochangetheinfusionbagandtubingtodayatA.12:00noon.B.2:00PMC.4:00P.M.D.8:00P.M.正確答案:A解析：9.上午8點(diǎn)，一名護(hù)士為指定的客戶檢查全腸外營(yíng)養(yǎng)（TPN）輸注袋中剩余的溶液量。這是一個(gè)3000mL的袋子，只剩下1000毫升。該解決方案以100毫升/小時(shí)的速度運(yùn)行。這個(gè)袋子是在前一天中午12點(diǎn)掛起來的。護(hù)士計(jì)劃今天就去換輸液袋和輸液管A.中午12點(diǎn)。B.2:00PMC.4:00P.M.D.8:00P.M.答：A

40.AnursereviewsthebloodgasresultsofaclientwithGuillain-Barresyndrome.Thenurseanalyzestheresultsanddeterminesthattheclientisexperiencingrespiratoryacidosis.Whichofthefollowingvalidatesthenurse'sfindings?A.pH7.50,PaCO252mmHg.B.pH7.35,PaCO240mmHg.C.pH7.25,PaCO250mmHg.D.pH7.50,PaCO230mmHg.正確答案:C解析：10.一名護(hù)士檢查了一名患有格林-巴雷綜合征的病人的血?dú)饨Y(jié)果。護(hù)士分析結(jié)果，并確定病人正在經(jīng)歷呼吸性酸中毒。以下哪一項(xiàng)證實(shí)了護(hù)士的發(fā)現(xiàn)？A.pH7.50，PaCO252mm汞柱。B.pH7.35，PaCO240mm汞柱。C.pH7.25，PaCO250mm汞柱。D.pH7.50，PaCO230mm汞柱。答案：C

41.Whichofthefollowingnursingdiagnoseshouldthenurseusetobestaddressthesuicidalpatient'sfeelingsofdespair?A.Anxiety.B.Spiritualdistress.C.Ineffectivecoping.D.Dysfunctionalgrieving.正確答案:B解析：護(hù)士應(yīng)該使用以下哪一種護(hù)理診斷來最好地解決有自殺傾向的病人的絕望感？A.焦慮。B.精神苦惱C.無效競(jìng)爭(zhēng)D.功能障礙性悲痛答：B

42.Adepressedandwithdrawnclientapproachesthenurse,whoisbusyworkingwithasocialworkerintheconferenceroom.Whichwouldbethebestresponsebythenurse?A.Telltheclientthatthenursewillseeherin10minutesB.Telltheclientshe'llhavetowaitisurgent.C.Asktheclientifwhatshewantsisurgent.D.Asktheclienthowthenursecanhelpher.正確答案:D解析：2.一個(gè)抑郁和孤僻的病人走近護(hù)士，護(hù)士正忙著和會(huì)議室里的一名社會(huì)工作者一起工作。護(hù)士的最佳反應(yīng)是什么？A.告訴病人護(hù)士10分鐘后會(huì)見她B.告訴客戶她必須等待。C.問客戶，她想要什么是否緊急。D.問病人護(hù)士能如何幫助她。答案：D

43.Theclientwithdualdiagnosesofmajordepressionandalcoholabusestates,"IonlydrinkwhenIcan'tsleep."Anexpectedoutcomeforthisclientisthattheclientwill.A.describeadaptivemethodsofcopingtoinducesleep.B.verbalizenegativeeffectsofalcoholonthebody.C.describedangerouseffectswhencombiningalcoholandantidepressantmedication.D.verbalizethedesiretostopdrinkingalcohol.正確答案:A解析：3.這位有重度抑郁癥和酗酒雙重診斷的客戶說：“我只在睡不著的時(shí)候喝酒?！边@個(gè)客戶的預(yù)期結(jié)果是客戶會(huì)。A.描述應(yīng)對(duì)誘導(dǎo)睡眠的自適應(yīng)方法。B.從口頭上表達(dá)酒精對(duì)身體的負(fù)面影響。C.描述當(dāng)酒精和抗抑郁藥物聯(lián)合使用時(shí)的危險(xiǎn)影響。D.從口頭上表達(dá)停止飲酒的愿望。答：A

44.Thenursehasbeenworkingwithadepressedmaleclientforoneweek.Thismorning,theclientcomestothediningroomwithhairuncombedandshirtunbuttoned.Whichoftheseactionsshouldthenursetakefirst?A.Approachtheclientandoffertohelphimfinishgettingdressed.B.Ignoretheclient'sappearanceandhelphimfindhisplaceatthetable.C.Sitwiththeclientandhelphimeatthefood.D.Walkwiththeclientuntilhenoticesthathisshirtisunbuttoned.正確答案:A解析：4.護(hù)士已經(jīng)為一個(gè)抑郁的男性病人工作了一個(gè)星期。今天早上，客戶來到餐廳，頭發(fā)沒有梳干凈，襯衫沒有扣上扣子。護(hù)士應(yīng)該先采取哪些行動(dòng)？A.接近客戶，并主動(dòng)提出幫他穿好衣服。B.忽略客戶的外表，幫助他在桌子上的位置。C.和客戶坐在一起，幫他吃食物。D.和客戶一起散步，直到他注意到他的襯衫被解開了。答：A

45.Apatientwhohasautismdemonstratesahighlevelofanxietyfollowingtherearrangementoffurnitureintheroom.Anurseshouldunderstandthattheclient'sbehavioristheresultofaneedforA.trustB.privacyC.constancy

D.independence正確答案:C解析：5.自閉癥患者在房間里家具重新布置后表現(xiàn)出高度的焦慮。護(hù)士應(yīng)該明白，病人的行為是由于需要A.信任B.隱私C.不屈不撓D獨(dú)立性答案：C

46.Themostcommonadverseeffectelectroconvulsivetherapy(ECT)forwhichthenursemustplaninterventionsisA.arrhythmia.B.physicalinjury.C.severehypertension.D.memoryloss.正確答案:D解析：6.護(hù)士必須計(jì)劃采取干預(yù)措施的最常見的副作用是電休克療法（ECT）是A.心律失常B.物理傷C.嚴(yán)重的高血壓。D.內(nèi)存丟失。答案：D

47.Theclientwithdepressiontellsthenursethatlifejustdoesn'tseemtobeworthlivingandhisfamilywouldbebetteroffwithouthim.Whichofthefollowinginterventionsshouldthenurseinitiallyutilize?A.Telltheclientthatthesearenormalfeelingswithdepression.B.Lettheclientknowthatthesefeelingwillpass.C.Asktheclientifheisfeelingsuicidal.D.Ignorethestatementandcontinuewiththeinterview.正確答案:C解析：7.患有抑郁癥的病人告訴護(hù)士，生活似乎不值得過下去，如果沒有他，他的家人會(huì)更好。護(hù)士最初應(yīng)使用以下哪些干預(yù)措施？A.告訴病人，這些都是抑郁的正常感覺。B.讓客戶知道，這些感覺將會(huì)過去。C.問客戶他是否有自殺傾向。D.忽略這個(gè)陳述，繼續(xù)進(jìn)行采訪。答案：C

48.Anurseisapproachedbyaclientwhoisexperiencingpersecutorydelusionsandrequestsassistancetoescapefromthepsychiatricunit.Whichofthefollowingnursingactionswouldbemostappropriate?A.Attempttolearnthemeaningofthedelusiontotheclients.B.Encouragetheclienttoverbalizethedelusions.C.Logicallyexplainthenatureofdelusionstotheclient.D.Pointoutthefalsebeliefspresentintheclient’sdelusion.正確答案:A解析：8.一名正在經(jīng)歷迫害妄想的客戶找到了一名護(hù)士，并請(qǐng)求幫助逃離精神病院。以下哪種護(hù)理措施最合適？A.試圖了解錯(cuò)覺對(duì)客戶的含義。B.鼓勵(lì)客戶用語言表達(dá)這些錯(cuò)覺。C.從邏輯上向客戶解釋錯(cuò)覺的本質(zhì)。D.指出在客戶的錯(cuò)覺中存在的錯(cuò)誤信念。答：A

49.Adepressedclientparticipatesinunitactivitiesandmeetsregularlywithanurse.Onemorningtheclientasksthenursetogetthecombfromthebedsidetable.Nexttothecomb,thenursefinds10secobarbitalcapsules.Afterconfiscatingthecapsules,whatshouldthenursedonext?A.Reportthefindingtotheotherteammembers.B.Telltheclientaboutfindingthecapsulesandaskiftheclientwasplanningtocommitsuicide.C.Sitwiththeclientfortherestofthedayandincreasesuicideprecautions.D.Givetheclientthecomb,thensuggestthattheclientandnursegoforawalk.正確答案:B解析：9.一個(gè)抑郁的病人參加單位活動(dòng)，并定期與一名護(hù)士見面。一天早上，病人讓護(hù)士從床頭柜上拿出梳子。在梳子旁邊，護(hù)士發(fā)現(xiàn)了10個(gè)塞巴比妥膠囊。在沒收了膠囊后，護(hù)士下一步應(yīng)該做什么？A.向其他團(tuán)隊(duì)成員報(bào)告調(diào)查結(jié)果。B.告訴客戶如何尋找膠囊，并詢問客戶是否打算自殺。C.在今天剩下的時(shí)間里和客戶坐在一起，增加自殺預(yù)防措施。D.給客戶一把梳子，然后建議客戶和護(hù)士去散散步。答：B

50.Adepressedclientissittingintheactivitiesroom,staringatthewall.Whichnursinginterventionwouldbethemostappropriate?A.Givetheclientfreeaccesstotheactivitiesmaterials,andaskwhatshewantstodo.B.Givetheclienttimetoselectanactivity,andsitwithheruntilshegetsbusy.C.Givetheclientequipmentformakingacollage,andshowherhowtodoit.

D.Givetheclienta500-piecejigsawpuzzle,andtellhertodothebestshecan.正確答案:C解析：10.一個(gè)抑郁的客戶正坐在活動(dòng)室里，盯著墻壁。哪種護(hù)理干預(yù)措施最合適？A.讓客戶免費(fèi)訪問活動(dòng)材料，并詢問她想做什么。B.給客戶時(shí)間來選擇一個(gè)活動(dòng)，并和她坐在一起，直到她忙起來。C.給客戶提供制作拼貼畫的設(shè)備，并教她如何去做。D給客戶一個(gè)500塊的拼圖游戲，并告訴她盡她所能。答案：C

51.Whichofthefollowingnursingconsiderationsmustbetakenintoaccountforaclientwithtype1diabetesmellitusonthemorningofsurgery?A.Theclientshouldtakehalfofhisusualdailyinsulin.B.Theclientshouldreceiveanoralantidiabeticagent.C.TheclientshouldreceiveanI.V.insulininfusion.D.Theclientshouldtakehisfulldailyinsulindonewithnodextroseinfusion.正確答案:A解析：1.對(duì)于1型糖尿病患者，在手術(shù)當(dāng)天早上必須考慮以下哪些護(hù)理因素？A.病人應(yīng)服用他通常每日胰島素的一半。B.患者應(yīng)接受口服降糖藥治療。C.患者應(yīng)接受I.V.insulin注射。D.患者應(yīng)每天全部服用胰島素，不注射葡萄糖。答：A

52.Whichofthefollowingtypesofdiabetesiscontrolledprimarilythroughdiet,exercise,andoralantidiabeticagents?A.Diabetesinsipidus.B.Diabetesketoacidosis.C.TypeIdiabetesmellitus.D.Type2diabetesmellitus.正確答案:D解析：2.以下哪一種糖尿病主要是通過飲食、運(yùn)動(dòng)和口服抗糖尿病藥來控制的？A.尿崩癥。B.糖尿病酮癥酸中毒。C.I型糖尿病。D.2型糖尿病。答案：D

53.Whenteachinganewlydiagnoseddiabeticclientaboutdietandexercise,it’simportanttoincludewhichofthefollowingaspects?A.Useoffiberlaxativesandbulk-formingagents.B.Managementoffluid,proteinandelectrolytes.C.Reductionofcalorieintakebeforeexercising.D.Caloricgoals,foodconsistency,andphysicalactivity.正確答案:D解析：3.當(dāng)教一個(gè)新診斷的糖尿病客戶關(guān)于飲食和鍛煉時(shí)，包括以下哪一個(gè)方面是很重要的？A.使用纖維瀉藥和成成型劑。B.液體、蛋白質(zhì)和電解質(zhì)的管理。C.在運(yùn)動(dòng)前減少卡路里的攝入量。D.熱量的目標(biāo)，食物的一致性，和身體活動(dòng)。答案：D

54.Rotatinginjectionsiteswhenadministeringinsulinpreventswhichofthefollowingcomplications?A.Insulinedema.B.Insulinlipodystrophy.C.Insulinresistance.D.Systemicallergicreactions.正確答案:B解析：給胰島素時(shí)旋轉(zhuǎn)注射部位可預(yù)防以下哪些并發(fā)癥？A.胰島素水腫。B.胰島素脂肪營(yíng)養(yǎng)不良。C.胰島素抵抗。D.全身過敏反應(yīng)。答：B

55.HowlongdoesthepeakeffectlastforNovolinNPH,anintermediateactinginsulin?A.15minutesto1hour.B.2to6hours.C.6to16hours.D.14to26hours.正確答案:C解析：5.對(duì)一種中間作用的胰島素諾伏林NPH的峰值效應(yīng)會(huì)持續(xù)多久？A.15分鐘到1小時(shí)。B.2到6個(gè)小時(shí)。C.6到16個(gè)小時(shí)。D.14到26個(gè)小時(shí)。答案：C

56.Aclientpresentwithdiaphoresis,palpitation,jitters,andtachycardiaapproximately1.5hoursaftertakinghisregularmorninginsulin.Whichofthefollowingtreatmentsisappropriateforthisclient?A.Checkbloodglucoselevelandadministercarbohydrates.B.Givenitroglycerinandperformanelectrocardiogram.C.CheckpulseoximetryandadministeroxygentherapyD.Restrictsalt,administerdiuretics,andperformaparacentesis.正確答案:A解析：6.患者在服用常規(guī)早晨胰島素后約1.5小時(shí)出現(xiàn)出汗、心悸、緊張和心動(dòng)過速。以下哪種治療方法適合此客戶？A.檢查血糖水平并給予碳水化合物。B.服用硝酸甘油并做心電圖檢查。C.檢查脈搏血氧儀并進(jìn)行氧療D.限制鹽，使用利尿劑，并進(jìn)行穿刺。答：A

57.Thenursetalkstoanadolescentabouthowshecantellherfriendsabouthernewdiagnosisofdiabetes.Whichofthefollowingbehaviorsbytheadolescentindicatesthattheadolescenthasrespondedpositivelytothediscussion?A.Sheasksthenurseformaterialondiabetesforaschoolpaper.B.Sheintroducesthenursetoherfriendsas"theonewhotaughtmeallaboutmydiabetes"C.Shesays,“I’lltrytotellmefriends,butthey'llprobablyquithangingoutwithme."D.Sheasksherfriendswhattheythinkaboutsomeonewhohasalifelongillness.正確答案:B解析：7.護(hù)士和一個(gè)青少年談?wù)撍绾胃嬖V她的朋友她的新糖尿病診斷。該青少年的以下哪些行為表明，該青少年對(duì)該討論有了積極的反應(yīng)？A.她向護(hù)士為學(xué)校的論文提供關(guān)于糖尿病的材料。B.她向朋友介紹護(hù)士是“教我糖尿病的人”C.她說：“我會(huì)試著告訴我朋友