新加坡EN 考试 test A 1answer.docx

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