新加坡EN 考试 test A 1answer.docx
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新加坡EN 考试 test A 1answer.docx
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新加坡EN考试testA1answer
Part1
1.Aprioritynursinginterventionforthecareofaterminallyillpatientdiagnosedwithmetastaticcanceris
•A.maintainingbowelfunction.
•B.alleviatingandrelievingpain.
•C.preventingrespiratoryarrest.
•D.managingchemotherapy.
2.Theregisterednurse’ssignatureasawitnessonaninformedconsentindicatesthatthepatient
•A.hasbeeninformedregardingtheprocedure.
•B.wasmedicatedforpainbeforetheconsentwassigned.
•C.candescribehowthesurgicalprocedurewillbedone.
•D.voluntarilyagreedtohavingtheprocedureperformed.
3.Whenassessingapatientforthepotentialdevelopmentofhypovolemicshock,whichofthefollowingmanifestationswouldthenursemostlikelyseefirst?
•A.Nervousnessandapprehension
•B.Decreasedurinaryoutput
•C.Systolicbloodpressurebelow90mmHg
•D.Hypoventilationandtachycardia
4.Aneight-year-oldchildhascerebralpalsy,atracheostomy,andisoxygen(O2)dependent.Duringaninitialvisittothehome,thenursewouldincludewhichofthefollowingquestionsinanenvironmentalsafetyassessment?
•A.“Aretheredraftsorairleaksinthehome?
”
•B.“Arethereotherchildreninthehome?
”
•C.“Doesanyonesmokeinthehome?
”
•D.“Aretherepetsinthehome?
”
5.Whichofthefollowinginstructionsshouldbegiventothefamilytoensurethesafetyofapatientwhorecentlybeganexperiencingperiodicgrandmalseizures?
•A.Placeatonguebladeinthepatient'smouthduringaseizure
•B.Physicallyrestrainthepatientduringtheseizure
•C.Removesharpobjectsinthepatient’simmediateenvironment
•D.Calltheemergencymedicalsquadwheneachseizurebegins
6.Staffnurseslearnthatapatienttheyhavebeencaringforduringthelastfewweekshasjustbeendiagnosedwithtuberculosis.Whenthenursesexpressconcernaboutcontractingtuberculosisthemselves,thechargenurse’sresponseshouldbebasedonwhichofthefollowingstatements?
•A.Tuberculosisiseasilytreatedwithashortcourseofantibiotics.
•B.TheMantouxtestisusedtoconfirmdiagnosisoftuberculosis
•C.Tuberculosisisnothighlyinfectiouswhenstandardprecautionsarefollowed.
•D.VaccinationwithBacilleCalmetteGuerin(BCG)willbeusedtoimmunizethenursesagainstinfection.
7.Torestrainathree-year-oldchildinpreparationforalumbarpuncture,thenurseshould
•A.usesoftarmrestraintsonbothhandsandlegstostabilizethechild.
•B.applyajacketrestrainttopreventsuddenmovements.
•C.placethechildinaflexedside-lyingposition.
•D.placethechildinasupinepositiononapapooseboard.
8.Anurseisassignedtoallofthefollowingpatients.Whichpatientshouldthenurseassessfirst?
•A.Thepatientrequestingmedicationforchestpain
•B.Thepatientwhohasanintravenousmedicationduein30minutes
•C.Thepatientwhohasatemperatureof101°F
•D.Thepatientwhoisscheduledtogotosurgerywithinthehour
9.Homesafetyforanelderlypatientwhosemobilityisimpairedshouldincludewhichofthefollowingmeasures?
•A.Carpetingstairways
•B.Waxingkitchenfloors
•C.Installinghandrailsnexttothetubandtoilet
•D.Placingthrowrugsinhallwaysanddoorways
10.Thenurseshouldbeawarethatthecorrectorderforphysicalassessmentoftheabdomenis
•A.Inspect,auscultate,percussandpalpate
•B.Inspect,palpate,auscultateandpercuss
•C.Inspect,percuss,palpateandauscultate
•D.Inspect,palpate,percussandauscultate
11.Whichofthefollowingobservationsofpostoperativeshouldindicatetothenursethatthepatientisexperiencingalowpainlevel?
•A.Thepatientaskedforpainmedicationfiveminutesagobutisnowasleep
•B.Thepatientstatesherpainisatleveltwoona10-pointscale
•C.Thepatientstatesthatherpainisatlevel10ona10-pointscale
•D.Thepatientislyingverystillinbed
12.Inteachingamotherofan18-mouth-oldaboutpreventionandsafetyinthehome,thenurseshouldincludewhichofthefollowingmeasuresinresponsetoaccidentalingestion?
•A.Inducevomitingwithonedoseofipecacsyrup
•B.CallthelocalPoisonControlCenterforadvicepriortotreatment
•C.Givethechildseveralglassesofwatertoflushthesubstance
•D.Havethechildeattheinnerportionofapieceofbread
13.Whichofthefollowingobservation,ifmadeinapatientwithaleftarmarteriovenous(AV)shuntpriortohemodialysis,shouldbereportedtothephysician?
•A.Absenceofthepalpablethrillovertheshunt
•B.Presenceofanaudiblebruitintheleftarm
•C.Overbedinstructionsnottotakeabloodpressureintheleftarm
•D.Overbedinstructionsthatbloodspecimensarenottobetakenfromtheleftarm
14.An85-year-oldmanisadmittedforcontinuous,crampingpainastheresultofintermittentclaudication.Whenconductinganinitialphysicalassessment,thenurseisunabletopalpatethepedalpulses.Whichofthefollowingactionsshouldthenursetakefirst?
•A.Notifythephysicianandanticipateemergencysurgery
•B.Assesstheapicalandradialpulsesforanyirregularityandnotifythephysician
•C.Elevatethefootofthebedandapplywarmcompresses
•D.ObtainaDopplerandrecheckthepedalpulses
15.Achildpresentsintheclinicwithirondeficiencyanemia.Asthenurse,youwouldexpectwhichofthefollowingsymptomstobepresentinthispatient?
•A.Abdominalpainandvomiting
•B.Poorpostureandunclearspeech
•C.Bradycardiaanddyspnea
•D.Poormuscietoneanddecreasedactivity
16.Whichofthefollowingstatementsbya25-year-oldwomanindicatesthatsheunderstandsbreastself-examination(BSE)?
•A.“IwillperformBSEeverythreemonths.”
•B.“IwillwearlatexgloveswhendoingBSE.”
•C.“IwilldocompleteBSEonbothbreastssevento10daysaftermensesonset.”
•D.“IwillusethepalmsofmyhandstoperformBSE.”
17.Apatientwithasthmaisproducingthick,whitesecretions,Whichofthefollowingnursingmeasureswouldbemostappropriateforthenursetoincludeinherplanofcare?
•A.Increasefluidintake
•B.Promoteexercise
•C.Administeroxygen
•D.Encouragecoughing
18.Apatientisadmittedfortreatmentwithathrombolyticmedication.Whichofthefollowingpatientstatementsshouldbereportedtothephysician?
•A.“Iamallergictoibuprofen.”
•B.“Ihaveglaucoma.”
•C.“Itakeaspirin(acetylsalicylicacid)everyday.”
•D.“Ihavehadmygallbladderremovedfiveyearsago.”
19.Duringperiodsofillnessthenurseshouldanticipatewhichofthefollowingoccurrencesinthepatientwithdiabetesmellitus?
•A.Theneedforinsulinisreduced.
•B.Theneedforinsulinisincreased.
•C.Thereisnoneedforinsulinsincetheappetiteisdecreased.
•D.Insulinrequirementisnotaffectedbyillness.
20.Aone-month-oldinfantinrespiratorydistressisbroughttotheemergencydepartment.Thenurseshouldobservetheinfantforwhichofthefollowingsigns?
•A.Clubbingoffingersandtoes.
•B.Jugularvenousdistension.
•C.Nasalflaringandchestretractions.
•D.Cool,clammymoistskin.
21.Achildwithaventro-peritoneal(VP)shuntpresentswithsignsandsymptomsofrestlessness,headache,blurredvision,bradycardia,andawideningpulsepressure.Thenursewouldsuspectthechildhas
•A.abraintumor.
•B.increasedintracranialpressure.
•C.lossofconsciousness.
•D.sleeppatterndisturbances.
22.Whichofthefollowingassessmentfindingswouldthenurseobservefirstinapatientwhoisundergoingperitonealdialysisandisdevelopingperitonitis?
•A.Dialysateleakageatcathetersite
•B.Insufficientflowofdialysate
•C.Cloudydialysatereturns
•D.Increaseddialysatereturns
23.Apatientwithatracheostomyistobeadmittedtotheunit.Asthechargenurse.Youshouldbeawarethatthemostappropriateplacementforthispatientis
•A.nearthenursesstationwithapatientwhohadabowelresection.
•B.inasingleroomneartheelevator.
•C.inaroomwithapatientwhohasacompromisedimmunesystem.
•D.withapatientwhohaspneumonia.
24.Whichofthefollowingquestionsshouldthenurseaskwhenassessinga10-year-oldpatientfortype1diabetesmellitus?
•A.“Areyougoingtothebathroomtopassyourwatermoreoften?
”
•B.“Areyousleepingmorethan10hoursatnight?
”
•C.“Areyoueatingalotofcandy?
”
•D.“Areyoufallingasleepafterrecess?
”
25.Whenteachingacaregiverinthehomeaboutflushingachild’scentralvenouscatheter,thenurseshouldinstructthecaregiverto
•A.keepthetelephonenearbytocallthephysicianshouldproblemsoccur.
•B.makecertainthechildhaseatenbeforetheprocedure.
•C.usegoodhand-washingtechniquebeforeandaftertheprocedure.
•D.haveallsiblingsoutoftheroomduringtheprocedure.
26.Apatientplanningtobecomepregnantaskstheprenatalnursefordietaryadvice.Tofacilitatenormalspinalcordformationinadevelopingfetus,thenurseshouldinstructthepatienttoincludefoodsinherdietthatcontain
•A.fiber.
•B.calcium.
•C.folicacid.
•D.protein.
27.Thepatientishospitalizedforthetreatmentofseverepreeclampsia.Whichofthefollowingclinicalmanifestationswouldthenurseconsiderindicativeofprogressionofthepatient’scondition?
•A.Generalizededema
•B.Proteinuria
•C.Elevatedbloodpressure
•D.Seizureactivity
28.Thenurseisassessingapatientonedaypostabdominalsurgery.Onauscultation,bowelsoundsareabsent.Thenurseshouldrecognizethatthisisindicativeof
•A.ascites.
•B.anobstructedbowel.
•C.peritonitis.
•D.normalpostoperativestatus.
29.ApatientisreceivingTotalParenteralNutrition(TP
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