Nurse qualification

A1 question (single sentence best choice question)

Type A1 questions are characterized by simple and concise questions, which examine the candidates' mastery of a single knowledge point.

Sample A1 questions:

After lumbar puncture, the patient should go to the pillow and lie down:

A. 1-2 hours

B. 3-4 hours

C. 4-6 hours

D. 10-12 hours

E. 24 hours

A2 type question (the best choice question of medical record summary)

Type A2 questions are characterized by a brief medical record, which tests the examinee's analytical judgment ability.

Sample A2 questions:

A patient, male, 30 years old. 30 minutes ago, he was admitted to the hospital due to the anterior cranial fossa fracture of the head caused by a car crash and was treated conservatively. The incorrect nursing measures for this patient are:

A. The head of the bed is raised 15~20 degrees

B. Rinse nasal cavity with antibiotic solution

C. Do not block the nasal cavity

D. No lumbar puncture

E. Keep the external auditory canal, oral cavity and nasal cavity clean

A3 type question (the best choice question of medical record group)

Type A3 questions are used to describe a patient centered clinical Scenario, 2~3 independent questions with different test points are proposed for relevant scenarios.

Sample A3 questions:

(Questions 1-3 share the same question stem) Patient, male, 40 years old. Severe pain in the upper abdomen occurred 3 hours after a full meal, accompanied by nausea and vomiting. Preliminary physical examination: clear mind, flat abdomen, obvious tenderness in the whole abdomen, plate like rigidity, bowel sounds disappear.

1. The triage nurse should first judge that the patient is most likely to be:

A. Acute abdomen, suspected pancreatitis

B. Hysteria

C. Digestive tract infection, typhoid fever suspected

D. Central nervous disease, brain hernia suspected

E. Trauma, suspected pelvic fracture

2. The most appropriate treatment for triage nurses is:

A. Priority general surgery emergency

B. Priority neurosurgery emergency

C. Emergency treatment in sequence

D. Go home and continue to observe

E. Further inquiry of medical history

3. The most likely reasons for the disappearance of bowel sounds are:

A. Intestinal perforation

B. Intestinal blood circulation disorder

C. Mechanical ileus

D. Severe pain and dare not breathe in abdomen

E. Intestinal paralysis caused by inflammatory stimulation

A4 type question (best choice question of medical record string type)

Type A4 questions describe a clinical situation centered on a single patient or family, and draw up 4-6 mutually independent questions. The questions can gradually increase some new information with the development of the disease to examine the clinical comprehensive ability.

Sample A4 questions:

(Questions 1-4 share the same question stem) Male, 63 years old. Chronic obstructive pulmonary disease (COPD) has been diagnosed for nearly 10 years, and family care and living care are always needed due to dyspnea. This morning, when I started to defecate, my shortness of breath suddenly worsened significantly, accompanied by chest pain, and I was sent to the emergency room.

1. Special attention shall be paid to inquiring when collecting medical history:

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-ray examination

E. Recent medication history, such as bronchodilators, antibiotics, etc

2. The focus of physical examination should be:

A. Location and mobility of lower lung boundary

B. Lung rale

C. Pathological bronchial breath sound

D. Bilateral comparison of chest percussion sound and breath sound

E. Carotid artery filling

3. The most valuable auxiliary examinations for diagnosis are:

A. B-mode ultrasonic imaging

B. Electrocardiogram

C. X-ray fluoroscopy or radiography

D.MRI

E. Nuclide lung scan

4. [Hypothetical information] Emphysema complicated with left spontaneous pneumothorax is confirmed by examination, and the treatment plan is to choose the thoracic intubation and water sealed bottle drainage. Nurses should explain to patients that the main purposes of drainage are:

A. Maintain severely damaged lung function and prevent respiratory failure

B. Shorten hospital stay

C. Prevent the formation of chronic pneumothorax

D. Prevent secondary infection of the chest

E. Prevention circulatory system Disturbance and complications

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