All the nurse qualification examinations adopt multiple-choice questions. All questions are composed of a stem and five options, of which only one is the correct answer, and the rest are interference answers. The interference answer may be partially correct or completely incorrect. When answering this question, candidates need to compare the options and find out the best or most suitable option. The exam adopts A 1, A2, A3 and A4 questions, and video multiple-choice questions are added on 20 19. The descriptions and examples of various problems are as follows:
(A) A 1: type questions (single sentence best multiple choice questions)
A 1 type questions are characterized by concise questions, which examine the examinee's mastery of a single knowledge point.
A 1 sample questions:
The patient was a male, 18 years old, with bronchial asthma for 2 years, and was treated with various aerosols at the same time. The correct order of use is ().
election
A, use bronchodilator first, then use hormone aerosol.
B. Use hormone aerosol first, then use bronchodilator.
C, use hormone aerosol first, and then use theophylline aerosol.
D, use bronchodilator first, and then use theophylline aerosol.
E use theophylline aerosol first, and then use bronchodilator.
Answer a
(B) A2-type questions (best multiple-choice questions with abstract medical records)
Type A2 questions are characterized by describing a short medical record, which tests the examinee's analytical judgment ability.
A2 class test questions sample questions:
2. Patient, male, 30 years old. 30 minutes ago, the anterior cranial fossa fracture was caused by a car collision.
Admission, conservative treatment. The nursing measures for this patient are incorrect:
A. Headbed elevation 15-20.
B. wash the nasal cavity with antibiotic solution
C. don't block the nasal cavity
D. Prohibition of lumbar puncture
Keep the external auditory canal, oral cavity and nasal cavity clean.
(3) Class 3)A3 questions (the best multiple-choice questions in the medical record group)
Class A3 questions describe a patient-centered clinical scenario, and put forward 2-3 independent questions with different test points for related scenarios.
Sample questions for A3 test questions:
(3-5 titled Dry Goods) Patient, male, 40 years old. After a full meal, there was severe pain in the upper abdomen for 3 hours, accompanied by nausea and vomiting. Preliminary physical examination: conscious, flat abdomen, obvious tenderness of the whole abdomen, tabular rigidity, and disappearance of bowel sounds.
3. The triage nurse should first judge that patients are most likely to:
A. Acute abdomen, suspected pancreatitis
B. hysteria
C. Digestive tract infection, suspected typhoid fever
D. Central nervous system disease, suspected cerebral hernia
E. Trauma, suspected pelvic fracture
4. For triage nurses, the most appropriate treatment is:
A. Priority is given to emergency general surgery
B. Priority neurosurgery emergency
C. Emergency treatment is orderly
D. Go home and continue to observe
E. Ask for further medical history
5. The most likely reasons for the disappearance of bowel sounds are:
A. Intestinal perforation
B. Intestinal blood supply disorder
C. Mechanical intestinal obstruction
D. I have a sharp pain in my abdomen and dare not breathe.
E. intestinal paralysis caused by inflammatory stimulation
(D) A4-type questions (best multiple-choice questions of medical records)
A4-type questions describe a single patient or family-centered clinical situation, and draw up 4-6 independent questions, which can gradually add some new information with the development of the disease to examine the comprehensive clinical ability.
A4 type test questions sample questions:
(6-9 titled Dry Goods) Patient, male, 63 years old. Chronic obstructive pulmonary disease (COPD) has been diagnosed for nearly 10 years, and it always needs family care and daily life because of dyspnea. When I started defecation this morning, my shortness of breath suddenly increased obviously, accompanied by chest pain, and I was sent to the emergency department.
6. When collecting medical history, special attention should be paid to asking:
A. Location, nature and accompanying symptoms of chest pain
B. History of coronary heart disease and angina pectoris
C. Smoking history
D. Recent chest X-rays
Recent medication history, such as bronchodilators and antibiotics.
7. Physical examination should focus on:
A. Lower lung boundary position and lower lung boundary activity
B. lung sounds
C. pathological bronchial breath sounds
D. Bilateral comparison of chest percussion sound and breathing sound
E. carotid artery filling
8. The most valuable auxiliary examination for diagnosis is:
A.b-ultrasound imaging
B. electrocardiogram
C.x-ray perspective or photography
D. nuclear magnetic resonance imaging
E. radionuclide lung scanning
9. 【 Hypothetical information 】 The left emphysema complicated with spontaneous pneumothorax was diagnosed by examination, and it was planned to be treated with water-sealed bottle drainage through thoracic intubation. Nurses should explain to patients that the main purpose of drainage is:
A. Maintain severely damaged lung function and prevent respiratory failure.
B. Shorten hospitalization time
C. Preventing the formation of chronic pneumothorax
D. Prevention of secondary infection in thoracic cavity
E. prevent complications caused by disturbance of circulatory system.
(5) Video multiple-choice questions
According to the content and topic of the short film and the requirements of patients, if you are the responsible nurse present, should you?
election
A. Tell the patient that the hospital medical records cannot be copied, but a discharge summary can be issued.
B tell the patient that he can't copy the medical records until next week, because he needs to apply to the medical record room in advance.
C promises to copy the patient later, but needs to inform the patient that he or his family needs to be present when copying the medical records.
D. Give the patient the medical record and let him copy it himself.
E agrees with the patient's request for copying medical records, but needs to pay the copying fee to the medical record room in advance.
Answer to the question c
Answer Analysis Patients have the right to copy their outpatient medical records, inpatient medical records, temperature sheets, doctor's orders, laboratory examinations (inspection reports), medical imaging examination data, special examination consent, operation consent, operation and anesthesia records, pathological data, nursing records and other medical records specified by the health administrative department of the State Council. I or my family members need to be present when copying medical records, and I can't give them to patients alone.
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