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美国NCLEX-RN考试250道测试题(1-5)

发表日期:2016-07-08 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
1.A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?

A.Body temperature of 99°F or less
B.Toes moved in active range of motion
C.Sensation reported when soles of feet are touched
D.Capillary refill of < 3 seconds

2.A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

A.Side-lying with knees flexed
B.Knee-chest
C.High Fowler's with knees flexed
D.Semi-Fowler's with legs extended on the bed

3.A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

A.Taking hourly blood pressures with mechanical cuff
B.Encouraging fluid intake of at least 200mL per hour
C.Position in high Fowler's with knee gatch raised
D.Administering Tylenol as ordered

4.Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

A.Peaches
B.Cottage cheese
C.Popsicle
D.Lima beans

5.A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.

A.Adjust the room temperature
B.Give a bolus of IV fluids
C.Start O2
D.Administer meperidine (Demerol) 75mg IV push


ANSWER:

1-5:D、D、B、C、C

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