Fundamentals of Nursing 護(hù)理學(xué)基礎(chǔ)智慧樹知到答案2024年浙江中醫(yī)藥大學(xué)

FundamentalsofNursing護(hù)理學(xué)基礎(chǔ)浙江中醫(yī)藥大學(xué)智慧樹知到答案2024年第一章測試

Thenursespendstimewiththepatientandfamilyreviewingthedressingchangeprocedureforthepatient’swound.Thepatient’sspousedemonstrateshowtochangethedressing.Thenurseisactinginwhichprofessionalrole?

A:EducatorB:CaregiverC:CasemanagerD:Advocate

答案:AEffectivedischargeplanningoftenrequiresreferralstovarioushealthcaredisciplines.()

A:True

B:False

答案:AWhatkindoflyingpositionshouldthepatientuseforbackexamination？()

A:Dorsalelevatedposition

B:Knee-chestposition

C:Proneposition

D:Trendelenburg’sposition

答案:CWhichquestionaboutnursingassessmentwouldbestindicatethatanincontinentmanwithahistoryofprostateenlargementmightnotbeemptyinghisbladderadequately?()

A:Doyouneedhelpgettingtothetoilet?

B:Doyoufeelaburningsensationwhenyoupassurine?

C:Doyoudribbleurineconstantly?

D:Doyouexperienceleakingofurinewhenyoucoughorsneeze?

答案:C

第二章測試

Ahospitalprovidesadvancedtertiarycareforpatientssufferingfromlife-threateningillnesses,whatkindofbasicfunctiondoesitprovide?()

A:Criticalcareservice

B:Emergency

C:Therapeutic

D:Diagnostic

答案:ABasedonlevelofservices,hospitalscanbedividedinto:()

A:Short-termhospital

B:Daycarehospital

C:Generalhospital

D:Long-termhospital

答案:ABDPreventiveservicesofahospitalinclude:()

A:Antenatalcare

B:Babyclinic

C:Immunization

D:Familywelfareclinics

答案:ABCCharacteristicsofprivatehospitalsare:()

A:Establishedbyregisteredcompanies

B:Ownedbyanindividualoragroupofindividuals

C:Arerunforcommercialpurposes

D:Generallyareself-funded

答案:BCDTeamworkisadynamicprocessinvolvingtwoormorehealthcareprofessionals.()

A:False

B:True

答案:B

第三章測試

Characteristicsofachronicillnessare:()

A:Thesymptomsappearabruptly.

B:Chronicillnessusuallylastslongerthansixmonths.

C:Affectsfunctioninginoneormoresystems.

D:Chronicillnessisreversible.

答案:BCThetypeofadmissiondependingonplanningare:()

A:Routineadmission

B:Emergencyadmission

C:Therapeuticadmission

D:Diagnosticadmission

答案:ABWhatisatypeofbedpositionwheretheheadofbedisraisedapproximately30degreesandpromoteslungexpansionforclientwithrespiratoryproblemcalled?()

A:ReverseTrendelenburg’sposition

B:Fowler’sposition

C:Semi-Fowler’sposition

D:Trendelenburg’sposition

答案:CBothacuteandchronicillnesseshavethepotentialtobelifethreatening.

A:TrueB:False

答案:AWhatisasytemoffamily-centeredcarethatallowspatientstolivewithcomfort,independenceanddignitywhileeasingthepainsofterminalillnesscalled?

A:NursingcentersB:RespitecareC:HospicecareD:Assistedliving

答案:C

第四章測試

Apatientisdiagnosedwithmethicillin-resistantstaphylococcusaureus(MRSA)pneumonia.Whichtypeofisolationprecautionismostappropriateforthispatient?（）

A:Dropletprecautions

B:Standardprecautions

C:Reverseisolation

D:Contactprcecautions

答案:AWhenshouldanursewearamask?()

A:Thepatienthasacquiredimmunodeficiencysyndrome(AIDS)andacongestedcough.

B:Thepatientisindropletprecautions.

C:Thenurseisassistingwithanaerosolizingrespiratoryproceduresuchassuctioning.

D:Thepatient’sdentalhygieneispoor.

答案:BCWhattypeofpersonalprotectiveequipmentarestaffrequiredtowearwhencaringforapediatricpatientwhoisplacedinairborneprecautionsforconfirmedchickenpox/herpeszoster?（）

A:N95respiratorymask

B:Disposalgown

C:Surgicalmask

D:Faceshieldorgoggles

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

A:Whilethepatientisincontactprecautions,hecannotleavetheroom.

B:Theorganismisusuallytransmittedthroughthefecal-oralroute.

C:Everyonecomingintotheroommustbewearingagownandgloves.

D:Handsshouldalwaysbecleanedwithsoapandwaterversusalcohol-basedhandsanitizer.

答案:BCDTheprimaryreasonforgowningistopreventsoilingclothesduringcontactwithapatient.()

A:False

B:True

答案:B

第五章測試

Whichisthefirststepthatanurseshoulddowhenshegetsasharpinjury?（）

A:Dressthewound

B:Disinfectthewoundwith75%alcohol

C:Rinsethewoundwithrinsingwater

D:Reporttothedoctor

答案:CThemethodsofhandhygieneinclude（）

A:Surgicalhandsepsis

B:Handwashing

C:Antiseptichandwash

D:Antiseptichandrub

答案:ABCDWhatarethefactorsincreasingtherisksforoccupationalinfectiontohealthcaregivers?（）

A:Physicalfactors

B:Chemicalfactors

C:Psychosocialfactors

D:Biologicalfactors

答案:ABCDNursesmustweargloveswhenimplementinginterventionstopatientswhoareinanyclinicalcondition.（）

A:True

B:False

答案:BWeneedtochoosewhichkindofmasktouseaccordingtothevariousconditionsinthehospital.（）

A:True

B:False

答案:A

第六章測試

RotatingsitesduringrepeatedmeasurementsofBPandpulseoximetryincreasestheriskforskinbreakdown.（）

A:True

B:False

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

A:Abilitytoswallow.

B:Heightandweight.

C:Vitalsigns.

D:Gait

答案:CApatientisadmittedfordehydrationcausedbypneumoniaandshortnessofbreath.Hehasahistoryofheartdiseaseandcardiacdysrhythmias.Thenursingassistantreportshisadmittingvitalsignstothenurse.Whichmeasurementsshouldthenursereassess?

（）

A:RightarmBP:118/72

B:Oxygensaturation:99%

C:Respiratoryrate:28

D:Temporaltemperature:37.4℃(99.3℉）E:Radialpulserate:72andirregular

答案:BCEBradypneaisrateofbreathinglessthan10breaths/min.()

A:True

B:False

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

A:Lyingflatonthebackwithkneesflexed.

B:Lyingflatonthebackwitharmsandlegsfullyextended.

C:Sittingupright.

D:Side-lyingwiththekneesflexed.

答案:C

第七章測試

Usingadocumentationtoolhelpslinkimplementationtooutcomes,soanevaluationoftheplanofcarefollowsobjectivecriteria.()

A:True

B:False

答案:BTheskilloftreatingpressureulcerscanbedelegatedtonursingassistivepersonnel.()

A:False

B:True

答案:AImpairedskinintegrityisnotafrequentproblemformosthealthypeople.()

A:True

B:False

答案:AAgingcausesadiminishedinflammatoryresponse,resultinginrapidepithelializationandwoundhealing.()

A:True

B:False

答案:BThelesserthedegreetowhichthefactorsofshear,frictionandmoisturearepresent,themoresusceptibletheskinwillbetodamagefrompressure.()

A:True

B:False

答案:B

第八章測試

Incaringforayoungchildwithpain,whichassessmenttoolisthemostuseful?()

A:Facepain-ratingscale

B:0-10numericpainscale

C:McGill-Melzackpainquestionnaire

D:Simpledescriptionpainintensityscale

答案:AInapplyingtheprinciplesofpaintreatment,whatisthefirstconsideration?()

A:Treatmentisbasedonclientgoals.

B:Wemustbelievethepatient’sownperceptionofpain,

C:Amultidisciplinaryapproachisneeded.

D:Drugsideeffectsmustbepreventedandmanaged.

答案:BThephysicianhasorderedaplaceboforaclientwithchronicpain.Youareanewlyhirednurseandyoufeelveryuncomfortableadministeringthemedication.Whatisthefirstactionthatyoushouldtake?()

A:Checkthehospitalpolicyregardinguseoftheplacebo.

B:Followapersonalcodeofethicsandrefusetogiveit.

C:Preparethemedicationandhandittothephysician

D:Contactthechargenurseforadvice.

答案:DWhatkindoflyingpositionshouldthepatientuseforanalandrectalexamination？()

A:Fowler’sPosition

B:Knee-chestposition

C:Proneposition

D:Supineposition

答案:BWhichofthefollowinginstructionsiscrucialforthenursetogivetobothfamilymembersandthepatientwhoisabouttobestartedonapatientcontrolledanalgesia(PCA)ofmorphine?()

A:DonotusethePCAuntilthepainissevere.

B:Donotpushthebuttontogotosleep.

C:ThePCAsystemcansetlimitstopreventoverdosesfromoccurring.

D:Notifythenursewhenthebuttonispushed.

E:Onlythepatientshouldpushthebutton.

答案:BCEIntravenous(IV)routeofadministrationispreferredifimmediateanalgesiaandrapidtitrationarenecessary.()

A:True

B:False

答案:A

第九章測試

Coldtherapycanrelievepain.Whatisthemechanism?（）

A:Decreasesperipheralnervesensitivity

B:Decreasesbacterialviability

C:Reducescellmetabolism

D:Reducestheexcitabilityofpainnerves

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

A:Alternateuseofheatandcoldtherapy

B:Hotwaterfootbath

C:Heattherapy

D:Coldtherapy

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

A:Askformedicalhistory

B:Hotwaterbagforpainrelief

C:Measurementofvitalsigns

D:Contactyourdoctor

答案:BWhatisthemechanismoficecaptreatmentforbrainedema?()

A:Reducebraintissuemetabolism

B:Reduceheadache

C:Decreaseintracranialpressure

D:Reducecentralrespiratoryexcitability

答案:AWhichofthefollowingbodypartsisnotincludedinthecontraindicationsforcoldtherapy?()

A:Scrotum

B:Armpit

C:Posterioroccipital

D:Externalear

答案:B

第十章測試

Thenurseevaluateswhichlaboratoryfindingtoassessapatient’spotentialforwoundhealing?（）

A:Nitrogenbalance

B:Potassium

C:Lipids

D:Fluidstatus

答案:AThenurseiscaringforapatientwithdysphagiaandisfeedingherpureedchickendietwhenshebeginstochoke.Whatistheprioritynursingintervention?（）

A:Turnherontheirside

B:Suctionhermouthandthroat

C:StopfeedingherandplaceonNPO

D:Putonoxygenat2-Lnasalcannula

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

A:Clamptheintravenoustubingtopreventmoreairfromenteringtheline

B:HavethepatientperformaValsalvamaneuver

C:Notifythehealthcareproviderimmediately

D:Havethepatienttakeadeepbreathandholdit

答案:BWhatisthemainsourceofenergyinthediet?（）

A:Protein

B:Fat

C:Carbohydrate

D:Water

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

A:Sepsis

B:Cardiacarrhythmias

C:Heartdisease

D:Pleuraleffusion

答案:ABD

第十一章測試

Anambulatoryelderlywomanwithdementiaisincontinentofurine.Shehaspoorshort-termmemoryandhasnotbeenseentoiletingindependently.Whatisthebestnursinginterventionforthispatient?()

A:Recommendthatshebeevaluatedforanoveractivebladdermedication

B:Recommendthatshebeevaluatedforanindwellingcatheter

C:Startascheduledtoiletingprogram

D:Startabladder-retrainingprogram

答案:CWhatbestdescribesmeasurementofpostvoidresidual?（）

A:Performabladderscanonthepatientwhenheorshereportsastrongurgetovoid.

B:Catheterizethepatient30minutesaftervoiding.

C:Performabladderscanonthepatientimmediatelyaftervoiding.

D:Catheterizethepatientwitha16Fr/10mLcatheter,

答案:CApatientdidnothavebowelmovementfor4days.Nowshehasnauseaandexperienceseverecrampingthroughoutherabdomen.Onthebasisofthesefindings,whatdoyoususpectiswrongwiththepatient?()

A:Irritationoftheintestinalmucosa

B:Gastroenteritis

C:Afecalimpaction

D:Anintestinalobstruction

答案:DEarly-morningurinemaybecloudybecauseofurineheldinthebladderovernight.()

A:False

B:True

答案:BWhenassessingapatient’sfirstvoidedurineoftheday,whichfindingshouldbereportedtothehealthcareprovider?

A:Lightpinkurine

B:SlightlycloudyurineC:PaleyellowurineD:Darkamberurine

答案:A

第十二章測試

Apatienthasjustreceived30mgofcodeinebymouthforpain.Fiveminuteslaterhevomits.Whatshouldthenursedofirst?()

A:Remedicatethepatient.

B:Callthephysician.

C:Explaintothepatientthatshecandonothingtohelphim.

D:Examinetheemesis.

答案:DAnursingstudentisadministeringAmpicillinPO.Theexpirationdateonthemedicationwrapperwasyesterday.Whatisthenextappropriateactionforthenursingstudent?()

A:Callthehealthcareproviderafterdiscussingthissituationwiththechargenurse.

B:Administerthemedicationsincemedicationsaregoodfor30daysaftertheirexpirationdate.

C:Askthenursingprofessorforadvice.

D:Returnthemedicationtopharmacyandgetanothertablet.

答案:DThesixrightsofmedicationadministrationis:()

A:Rightpatient.

B:Rightdocumentation.

C:Allabove.

D:Rightroute.

E:Righttime.

F:Rightdose.

G:Rightmedication.

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

A:Informthechargenurseoftheerror.

B:Completeanoccurrencereport.

C:Notifythehealthcareprovider.

D:Assessthepatientforadverseeffects

答案:DThebestsubcutaneousinjectionsiteinclude:（）

A:Theabdomenfrombelowthecostalmarginstotheiliaccrest

B:Theinnerforear