Fundamentals of Nursing 護(hù)理學(xué)基礎(chǔ)智慧樹知到答案章節(jié)測(cè)試2023年浙江中醫(yī)藥大學(xué)

第一章測(cè)試Thenursespendstimewiththepatientandfamilyreviewingthedressingchangeprocedureforthepatient’swound.Thepatient’sspousedemonstrateshowtochangethedressing.Thenurseisactinginwhichprofessionalrole?

A:Educator

B:Casemanager

C:Caregiver

D:Advocate

答案:AEffectivedischargeplanningoftenrequiresreferralstovarioushealthcaredisciplines.()

A:False

B:True

答案:BWhatkindoflyingpositionshouldthepatientuseforbackexamination？()

A:Dorsalelevatedposition

B:Trendelenburg’sposition

C:Knee-chestposition

D:Proneposition

答案:DWhichquestionaboutnursingassessmentwouldbestindicatethatanincontinentmanwithahistoryofprostateenlargementmightnotbeemptyinghisbladderadequately?()

A:Doyoufeelaburningsensationwhenyoupassurine?

B:Doyouneedhelpgettingtothetoilet?

C:Doyoudribbleurineconstantly?

D:Doyouexperienceleakingofurinewhenyoucoughorsneeze?

答案:C第二章測(cè)試Ahospitalprovidesadvancedtertiarycareforpatientssufferingfromlife-threateningillnesses,whatkindofbasicfunctiondoesitprovide?()

A:Emergency

B:Therapeutic

C:Diagnostic

D:Criticalcareservice

答案:DBasedonlevelofservices,hospitalscanbedividedinto:()

A:Generalhospital

B:Daycarehospital

C:Long-termhospital

D:Short-termhospital

答案:BCDPreventiveservicesofahospitalinclude:()

A:Antenatalcare

B:Immunization

C:Babyclinic

D:Familywelfareclinics

答案:ABCCharacteristicsofprivatehospitalsare:()

A:Arerunforcommercialpurposes

B:Ownedbyanindividualoragroupofindividuals

C:Establishedbyregisteredcompanies

D:Generallyareself-funded

答案:ABDTeamworkisadynamicprocessinvolvingtwoormorehealthcareprofessionals.()

A:False

B:True

答案:B第三章測(cè)試Characteristicsofachronicillnessare:()

A:Chronicillnessisreversible.

B:Chronicillnessusuallylastslongerthansixmonths.

C:Affectsfunctioninginoneormoresystems.

D:Thesymptomsappearabruptly.

答案:BCThetypeofadmissiondependingonplanningare:()

A:Emergencyadmission

B:Therapeuticadmission

C:Routineadmission

D:Diagnosticadmission

答案:ACWhatisatypeofbedpositionwheretheheadofbedisraisedapproximately30degreesandpromoteslungexpansionforclientwithrespiratoryproblemcalled?()

A:ReverseTrendelenburg’sposition

B:Semi-Fowler’sposition

C:Fowler’sposition

D:Trendelenburg’sposition

答案:BBothacuteandchronicillnesseshavethepotentialtobelifethreatening.

A:False

B:True

答案:BWhatisasytemoffamily-centeredcarethatallowspatientstolivewithcomfort,independenceanddignitywhileeasingthepainsofterminalillnesscalled?

A:Assistedliving

B:Hospicecare

C:Nursingcenters

D:Respitecare

答案:B第四章測(cè)試Apatientisdiagnosedwithmethicillin-resistantstaphylococcusaureus(MRSA)pneumonia.Whichtypeofisolationprecautionismostappropriateforthispatient?（）

A:Reverseisolation

B:Contactprcecautions

C:Dropletprecautions

D:Standardprecautions

答案:CWhenshouldanursewearamask?()

A:Thepatientisindropletprecautions.

B:Thenurseisassistingwithanaerosolizingrespiratoryproceduresuchassuctioning.

C:Thepatient’sdentalhygieneispoor.

D:Thepatienthasacquiredimmunodeficiencysyndrome(AIDS)andacongestedcough.

答案:ABWhattypeofpersonalprotectiveequipmentarestaffrequiredtowearwhencaringforapediatricpatientwhoisplacedinairborneprecautionsforconfirmedchickenpox/herpeszoster?（）

A:Faceshieldorgoggles

B:N95respiratorymask

C:Disposalgown

D:Surgicalmask

答案:BCApatientwhohasbeenisolatedforClostridiumdifficile(C.difficile)asksyoutoexplainaboutwhatheshouldknowaboutthisorganism.Whatisthemostappropriateinformationtoincludeinpatientteaching?（）

A:Theorganismisusuallytransmittedthroughthefecal-oralroute.

B:Whilethepatientisincontactprecautions,hecannotleavetheroom.

C:Everyonecomingintotheroommustbewearingagownandgloves.

D:Handsshouldalwaysbecleanedwithsoapandwaterversusalcohol-basedhandsanitizer.

答案:ACDTheprimaryreasonforgowningistopreventsoilingclothesduringcontactwithapatient.()

A:True

B:False

答案:A第五章測(cè)試Whichisthefirststepthatanurseshoulddowhenshegetsasharpinjury?（）

A:Rinsethewoundwithrinsingwater

B:Reporttothedoctor

C:Dressthewound

D:Disinfectthewoundwith75%alcohol

答案:AThemethodsofhandhygieneinclude（）

A:Handwashing

B:Surgicalhandsepsis

C:Antiseptichandwash

D:Antiseptichandrub

答案:ABCDWhatarethefactorsincreasingtherisksforoccupationalinfectiontohealthcaregivers?（）

A:Biologicalfactors

B:Chemicalfactors

C:Physicalfactors

D:Psychosocialfactors

答案:ABCDNursesmustweargloveswhenimplementinginterventionstopatientswhoareinanyclinicalcondition.（）

A:True

B:False

答案:BWeneedtochoosewhichkindofmasktouseaccordingtothevariousconditionsinthehospital.（）

A:False

B:True

答案:B第六章測(cè)試RotatingsitesduringrepeatedmeasurementsofBPandpulseoximetryincreasestheriskforskinbreakdown.（）

A:True

B:False

答案:BThenurseisassessinganelderlypostsurgicalpatientinthehome.Tobeginthephysicalexamination,thenurseshouldfirstassessthepatient’s?（）

A:Heightandweight.

B:Gait

C:Vitalsigns.

D:Abilitytoswallow.

答案:CApatientisadmittedfordehydrationcausedbypneumoniaandshortnessofbreath.Hehasahistoryofheartdiseaseandcardiacdysrhythmias.Thenursingassistantreportshisadmittingvitalsignstothenurse.Whichmeasurementsshouldthenursereassess?

（）

A:Respiratoryrate:28

B:Oxygensaturation:99%

C:Temporaltemperature:37.4℃(99.3℉）

D:RightarmBP:118/72

E:Radialpulserate:72andirregular

答案:ABEBradypneaisrateofbreathinglessthan10breaths/min.()

A:False

B:True

答案:BThenurseisassessingvitalsignsforapatientjustadmittedtothehospital.Ideally,andiftherearenocontraindications,howshouldthenursepositionthepatientforthisportionoftheadmissionassessment?()

A:Side-lyingwiththekneesflexed.

B:Sittingupright.

C:Lyingflatonthebackwitharmsandlegsfullyextended.

D:Lyingflatonthebackwithkneesflexed.

答案:B第七章測(cè)試Usingadocumentationtoolhelpslinkimplementationtooutcomes,soanevaluationoftheplanofcarefollowsobjectivecriteria.()

A:False

B:True

答案:ATheskilloftreatingpressureulcerscanbedelegatedtonursingassistivepersonnel.()

A:True

B:False

答案:BImpairedskinintegrityisnotafrequentproblemformosthealthypeople.()

A:True

B:False

答案:AAgingcausesadiminishedinflammatoryresponse,resultinginrapidepithelializationandwoundhealing.()

A:True

B:False

答案:BThelesserthedegreetowhichthefactorsofshear,frictionandmoisturearepresent,themoresusceptibletheskinwillbetodamagefrompressure.()

A:False

B:True

答案:A第八章測(cè)試Incaringforayoungchildwithpain,whichassessmenttoolisthemostuseful?()

A:McGill-Melzackpainquestionnaire

B:Simpledescriptionpainintensityscale

C:Facepain-ratingscale

D:0-10numericpainscale

答案:CInapplyingtheprinciplesofpaintreatment,whatisthefirstconsideration?()

A:Treatmentisbasedonclientgoals.

B:Drugsideeffectsmustbepreventedandmanaged.

C:Wemustbelievethepatient’sownperceptionofpain,

D:Amultidisciplinaryapproachisneeded.

答案:CThephysicianhasorderedaplaceboforaclientwithchronicpain.Youareanewlyhirednurseandyoufeelveryuncomfortableadministeringthemedication.Whatisthefirstactionthatyoushouldtake?()

A:Followapersonalcodeofethicsandrefusetogiveit.

B:Contactthechargenurseforadvice.

C:Preparethemedicationandhandittothephysician

D:Checkthehospitalpolicyregardinguseoftheplacebo.

答案:BWhatkindoflyingpositionshouldthepatientuseforanalandrectalexamination？()

A:Fowler’sPosition

B:Proneposition

C:Knee-chestposition

D:Supineposition

答案:CWhichofthefollowinginstructionsiscrucialforthenursetogivetobothfamilymembersandthepatientwhoisabouttobestartedonapatientcontrolledanalgesia(PCA)ofmorphine?()

A:Donotpushthebuttontogotosleep.

B:DonotusethePCAuntilthepainissevere.

C:Notifythenursewhenthebuttonispushed.

D:ThePCAsystemcansetlimitstopreventoverdosesfromoccurring.

E:Onlythepatientshouldpushthebutton.

答案:ADEIntravenous(IV)routeofadministrationispreferredifimmediateanalgesiaandrapidtitrationarenecessary.()

A:False

B:True

答案:B第九章測(cè)試Coldtherapycanrelievepain.Whatisthemechanism?（）

A:Decreasesbacterialviability

B:Reducestheexcitabilityofpainnerves

C:Reducescellmetabolism

D:Decreasesperipheralnervesensitivity

答案:DPatientismale,14yearsold,accidentallysprainedhisankleduringbasketballmatchandwenttotheschoolclinictoseeadoctoronehourlater.Thecorrecttreatmentatthatmomentis()

A:Alternateuseofheatandcoldtherapy

B:Heattherapy

C:Coldtherapy

D:Hotwaterfootbath

答案:CPatientismale,32yearsold,cametothehospitalfortreatmentduetoabdominalpain,pallorandcoldsweat.Beforeadefinitediagnosiswasmade,thenursingactionthatthenurseshouldnottakeis()

A:Askformedicalhistory

B:Contactyourdoctor

C:Measurementofvitalsigns

D:Hotwaterbagforpainrelief

答案:DWhatisthemechanismoficecaptreatmentforbrainedema?()

A:Reducebraintissuemetabolism

B:Reduceheadache

C:Decreaseintracranialpressure

D:Reducecentralrespiratoryexcitability

答案:AWhichofthefollowingbodypartsisnotincludedinthecontraindicationsforcoldtherapy?()

A:Armpit

B:Posterioroccipital

C:Externalear

D:Scrotum

答案:A第十章測(cè)試Thenurseevaluateswhichlaboratoryfindingtoassessapatient’spotentialforwoundhealing?（）

A:Nitrogenbalance

B:Potassium

C:Lipids

D:Fluidstatus

答案:AThenurseiscaringforapatientwithdysphagiaandisfeedingherpureedchickendietwhenshebeginstochoke.Whatistheprioritynursingintervention?（）

A:StopfeedingherandplaceonNPO

B:Turnherontheirside

C:Suctionhermouthandthroat

D:Putonoxygenat2-Lnasalcannula

答案:AApatientwhoisreceivingparenteralnutrition(PN)throughacentralvenouscatheter(CVC)hasanairembolus.Whatwouldthenursedofirst?（）

A:Havethepatienttakeadeepbreathandholdit

B:Clamptheintravenoustubingtopreventmoreairfromenteringtheline

C:Notifythehealthcareproviderimmediately

D:HavethepatientperformaValsalvamaneuver

答案:DWhatisthemainsourceofenergyinthediet?（）

A:Fat

B:Protein

C:Carbohydrate

D:Water

答案:CThenurseiscaringforapatientwithpneumoniawhohasseveremalnutrition.Thenurserecognizesthat,becauseofthenutritionalstatus,thepatientisatincreasedriskfor:（）

A:Cardiacarrhythmias

B:Pleuraleffusion

C:Sepsis

D:Heartdisease

答案:ABC第十一章測(cè)試Anambulatoryelderlywomanwithdementiaisincontinentofurine.Shehaspoorshort-termmemoryandhasnotbeenseentoiletingindependently.Whatisthebestnursinginterventionforthispatient?()

A:Recommendthatshebeevaluatedforanoveractivebladdermedication

B:Recommendthatshebeevaluatedforanindwellingcatheter

C:Startascheduledtoiletingprogram

D:Startabladder-retrainingprogram

答案:CWhatbestdescribesmeasurementofpostvoidresidual?（）

A:Catheterizethepatientwitha16Fr/10mLcatheter,

B:Performabladderscanonthepatientwhenheorshereportsastrongurgetovoid.

C:Catheterizethepatient30minutesaftervoiding.

D:Performabladderscanonthepatientimmediatelyaftervoiding.

答案:DApatientdidnothavebowelmovementfor4days.Nowshehasnauseaandexperienceseverecrampingthroughoutherabdomen.Onthebasisofthesefindings,whatdoyoususpectiswrongwiththepatient?()

A:Gastroenteritis

B:Irritationoftheintestinalmucosa

C:Afecalimpaction

D:Anintestinalobstruction

答案:DEarly-morningurinemaybecloudybecauseofurineheldinthebladderovernight.()

A:True

B:False

答案:AWhenassessingapatient’sfirstvoidedurineoftheday,whichfindingshouldbereportedtothehealthcareprovider?

A:Paleyellowurine

B:Lightpinkurine

C:Slightlycloudyurine

D:Darkamberurine

答案:B第十二章測(cè)試Apatienthasjustreceived30mgofcodeinebymouthforpain.Fiveminuteslaterhevomits.Whatshouldthenursedofirst?()

A:Explaintothepatientthatshecandonothingtohelphim.

B:Callthephysician.

C:Examinetheemesis.

D:Remedicatethepatient.

答案:CAnursingstudentisadministeringAmpicillinPO.Theexpirationdateonthemedicationwrapperwasyesterday.Whatisthenextappropriateactionforthenursingstudent?()

A:Administerthemedicationsincemedicationsaregoodfor30daysaftertheirexpirationdate.

B:Returnthemedicationtopharmacyandgetanothertablet.

C:Callthehealthcareproviderafterdiscussingthissituationwiththechargenurse.

D:Askthenursingprofessorforadvice.

答案:BThesixrightsofmedicationadministrationis:()

A:Righttime.

B:Rightroute.

C:Rightdocumentation.

D:Rightdose.

E:Allabove.

F:Rightmedication.

G:Rightpatient.

答案:EAnurseaccidentalygivesapatientthemedicationsthatwereorderedforthepatient’sroommate.Whatisthenurse’sfirstpriority?（）

A:Notifythehealthcareprovider.

B:Informthechargenurseoftheerror.

C:Completeanoccurrencereport.

D:Assessthepatientforadverseeffects

答案:DThebestsubcutaneousinjectionsiteinclude:（）

A:Theanterioraspectsofthethighs

B:Theouterposterioraspectoftheupperarms