椒江专业实务单选50题(含答案

椒江专业实务单选50题(含答案
椒江专业实务单选50题(含答案

椒江专业实务单选50题(含答案)

单选题

1、患者男性,48岁。手术后第二天,护士通过评估认为目前存在以下问题,属于首优问题的是

A营养失调:低于机体需要量

B尿潴留

C体温39.0℃

D生活自理能力缺乏

E气体交换受损

答案:答案出错

解析出错

单选题

2、对脉搏生理性变化的叙述,错误的是

A肱动脉

B桡动脉

C股动脉

D颈内动脉

E足背动脉

答案:B

凡浅表靠近骨骼的大动脉均可用于诊脉,常选择桡动脉。

单选题

3、葡萄胎随访时必须进行的检查是

A定期复查HCG

B注意月经是否规律

C观察有无阴道流血

D注意有无咳嗽、咯血等转移症状

E行安全期避孕

答案:E

葡萄胎患者清宫术后,护士应指导患者随访期间严格避孕1年,避孕工具首选安全套。

单选题

4、患者,女,30岁。左腰部被撞伤1小时,因左腰痛、尿色红来院就诊。查体:

BP16/9kPa(120/70mmHg),心率78次/分,呼吸平稳,左腰稍肿伴明显压痛,腹软无压痛。诊断肾损伤,护理中应特别强调

A合并肠破裂

B肾蒂损伤

C肾挫伤

D开放性肾损伤

E肾盂破裂

答案:C

并非所有肾损伤都需手术,肾挫伤可行保守治疗。

单选题

5、清洁、消毒、灭菌的监测方法中,正确的是

A氯己定(洗必泰)

B戊二醛

C聚维酮碘

D苯扎溴铵(新洁尔灭)

E乙醇

答案:B

属于高效消毒剂的是戊二醛

单选题

6、患者,男性,27岁,酒后4h剧烈腹痛。患者中午聚餐,饮6两白酒。下午出现剧烈、持续的上腹部疼痛,并向腰背部呈带状放射,伴有恶心、呕吐,吐出食物和胆汁。查体:体温39℃,脉搏87/min,血压105/75mmHg(14/10kPa);左上腹压痛明显,无明显肌紧张。临床诊断为急性胰腺炎。首选的检查方法是

A血常规

B血淀粉酶

C血清脂肪酶

D腹部CT

E血肌酐测定

 血清淀粉酶在发病后6-12小时开始升高,48h下降,持续3-5天;尿淀粉酶在12-24h 才开始升高,下降缓慢。 

单选题

7、消化性溃疡特征性的临床症状是

A慢性胃炎

B食管炎

C胃溃疡

D十二指肠溃疡

E胰腺炎

答案:C

胃溃疡疼痛的典型节律为餐后痛:进食—疼痛—缓解。

单选题

8、患儿女,1岁。来医院查体,体重8.5kg,身高75cm,头围46cm,前囟未闭合,家长焦急的询问护士,正常情况下小儿前囟闭合最迟的时间。小儿前囟闭合延迟的常见原因是A发育不良

B胆红素脑病

C维生素D缺乏性佝偻病

D小脑畸形

E脑萎缩

 前囟迟闭、过大见于佝偻病、先天性甲状腺功能减低症等。

单选题

9、溃疡性结肠炎的好发部位

A升结肠

B横结肠

C降结肠

D乙状结肠

E盲肠

答案:D

溃疡性结肠炎的好发部位为乙状结肠,故选D。

单选题

10、患者,女性,64岁,胰腺癌广泛转移,病情日趋恶化。为其提供的临终护理,其主要目的不包括

A提供心理疗法

B与家属共同商议治疗方案

C让患者有尊严地度过余生

D实施安乐死

E不放弃治疗,说服患者配合治疗

答案:C

让患者有尊严地度过余生

单选题

11、正常情况下,产妇顺产后需继续留在产房观察的时间是

A了解患者的分娩史

B评估患者的血压、脉搏、呼吸、神志情况

C观察患者阴道出血量

D了解宫底的大小及有无压痛

E母乳喂养情况

答案:E

子宫胎盘附着面感染或复旧不全,多发生在2周左右。因此患者入院后,护士首先应做的就是检查患者的阴道出血情况。母乳喂养情况最不相关。

单选题

12、某患者因胃癌行胃大部切除术。术后第1天除生命体征外,护士最应重点观察的是

A消化道钡剂

B血沉

C胃磁共振检查

D大便常规

E纤维胃镜

答案:E

纤维胃镜可直视病灶部位,并可取活组织行病理检查,以确定肿瘤性质。

单选题

13、患者,男性,28岁,因外出春游出现咳嗽、咳白黏痰伴喘息1天入院,体检:体温36.5℃,脉搏90次/分,呼吸28次/分,血压120/80mmHg,在肺部可闻及广泛哮鸣音,既往有支气管哮喘史。患者进一步表现为发绀明显、端坐呼吸、大汗淋漓,24小时经一般解痉治疗后症状无缓解,判断患者为

A左心衰竭

B内源性哮喘

C右心衰竭

D哮喘持续状态

E混合性哮喘

答案:D

用药后哮喘发作持续24小时不缓解称为哮喘持续状态。

单选题

14、患者,女,45岁,车祸导致腰椎骨折而引起尿失禁,下列健康指导哪项是错误的

A缓解焦虑情绪

B温水冲洗会阴

C听流水声

D给予利尿剂

E膀胱按摩

答案:答案出错

单选题

15、患儿女,10岁,突发腹部钻顶样疼痛2小时来院。大汗淋漓,辗转不安,疼痛停止时又平息如常,查体:右方有压痛,无腹肌紧张和反跳痛,为明确诊断,应采取的检查是A肝内胆管结石

B胆道蛔虫病

C胆总管结石

D急性胆管炎

E胆囊结石

答案:B

胆道蛔虫病多发生于青少年和儿童,常突发上腹部剑突下钻顶样剧烈疼痛,坐卧不安,大汗淋漓。疼痛可向右肩背部放射,伴恶心、呕吐,呕吐物中有时可见蛔虫。体格检查可在剑突下或稍右方有轻度压痛。

单选题

16、患儿,男,2岁,因上呼吸道感染出现咳嗽、发热入院。现体温39.3°C,半小时前突发抽搐,持续约1分钟后停止,呈嗜睡状。为避免再发抽搐,护理的重点是

A多晒太阳

B按时预防接种

C加强体格锻炼

D居室定期食醋熏蒸

E体温过高时应及时降温

小儿因高热惊厥发生抽搐,为了避免再次发生,应尽快降温。

单选题

17、患者,女,28岁。乳腺癌扩大根治术后咨询护士可以妊娠的时间是术后

A1年

B2年

C3年

D4年

E5年

答案:E

此题属于基础类考题,比较简单。乳腺癌术后为避免肿瘤复发,要求避孕5年。区别葡萄胎清宫术后要求避孕2年。

单选题

18、患者,男性,85岁,结核病患者,伴全心衰竭。为其进行特殊口腔护理时发现口腔内有绿脓杆菌感染,护士应选择的漱口液是

A1%~2%碳酸氢钠溶液

B朵贝尔液(复方硼砂溶液)

C0.1%醋酸溶液

D2%~3%硼酸溶液

E生理盐水

朵贝尔液(复方硼砂溶液):轻微抑菌,消除口臭。

单选题

19、患者,男,63岁。因脑外伤昏迷入院,给予降颅压及抗生素治疗。患者2周后出现口腔颊部黏膜破溃,创面有白色膜状物,用棉签拭去附着物后创面有轻微出血。该患者口腔病变的原因可能是

A维生素缺乏

B真菌感染

C病毒感染

D凝血功能障碍

E铜绿假单胞菌感染

答案:B

口腔黏膜有白色分泌物考虑为白色念珠菌感染,为真菌感染。

单选题

20、患者,男,62岁,5年来站立、咳嗽时反复出现左侧腹股沟肿块,呈梨形,平卧可消失,12小时前搬家具时肿块增大,有明显疼痛,平卧和手推均不能回纳,肛门停止排便排气,诊断为腹外疝入院治疗。患者治疗后即将出院,护士给予指导,其中不正确的是A是否有肠梗阻表现

B生命体征

C是否有肠破裂表现

D疝块是否再次脱出

E有无全身感染症状

答案:C

因嵌顿疝在手法复位过程中,有可能损伤肠管。

单选题

21、为预防子宫脱垂的发生,下列健康指导不恰当的是

A办理入院手续

B沐浴更衣

C会阴清洗

D让产妇步行进入病区

E送入产房待产

答案:E

患者宫口开4cm,已进入第一产程,故应进入产房待产。

单选题

22、丁先生,入院7天,体温均在39.5~40℃。其热型是

Aq8h

Bq6h

Cq4h

Dqh

Eqd

答案:C

此题属于临床基础类考题,属于比较简单题目。对于高热患者,应每隔4小时测量1次体温。故选C。

单选题

23、林女士,34岁,因患乳腺癌而接受了乳腺癌根治术,患者术后常有自卑感,不愿见人,护士应特别注意满足患者的哪一方面需要

A允许患者独处

B适当沉默

C耐心听取患者倾诉

D鼓励患者及时发泄自己的情绪

E幽默

答案:答案出错

解析出错

单选题

24、护士甲因为孩子患病最近经常请假,护士长认为其影响了工作而不满。护士甲则认为护士长对她不体谅、缺乏人情味,俩人关系比较紧张,影响他们关系的主要原因是A老年痴呆患者

B病理性黄疸的新生儿

C阑尾炎术后患者

D脑出血患者

E骨质疏松患者

答案:C

指导-合作型护患关系适用于急性患者和外科手术后恢复期的患者。

单选题

25、患者,女性,47岁,突发高热、寒战,肝区疼痛,肝功能异常,拟诊细菌性肝脓肿。细菌性肝脓肿最常见的致病菌是

A类杆菌

B粪球杆菌

C链球菌

D大肠埃希菌

E溶血性链球菌

答案:D

细菌性肝脓肿的致病菌:多为大肠埃希菌、金黄色葡萄球菌。

单选题

26、患者,女性,15岁,外伤后出现肘部关节肿胀,鉴别肱骨髁上骨折和肘关节脱位的是

A肱骨骨折

B桡骨骨折

C胫腓骨骨折

D股骨骨折

E尺骨骨折

答案:C

初中英语50道易错题

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