34. The patient was a 32-year-old female. She suffered from increased leucorrhea and lower abdominal pain for 3 months. She was diagnosed as cervical columnar epithelial heterotopia, and had a cervical conization two days ago. Nurses should instruct patients not to have sex and take a bath after discharge.

A. 1 month

B.2 months

About 3 months.

Fourth month

About five months.

35. The patient is a 6-year-old girl. A large area of boiling water scalded the whole body and was sent to the emergency department. Extensive burns on limbs and back, red and swollen wounds, and big blisters. The uninjured areas include the skin of the head, face, neck and about 8 palms in the chest and abdomen. Estimated burn area is

A.63%

B.67%

C.73%

D.77%

E.83%

36. The typical manifestations of Cushing's syndrome do not include

A. Hypotension

B. Centripetal obesity with purple skin.

C. Emotional instability, insomnia, irritability

D. thin skin and bloody face

E. Irregular menstruation

37. A patient with peptic ulcer is about to leave the hospital, and the problems that should be paid attention to when the responsible nurse guides him to go home do not include

A. the rule of life and the combination of work and rest

B. avoid eating irritating food

C drugs to protect gastric mucosa should be taken before meals 1 hour.

D. antacids should be taken before meals and before bed.

E. Take painkillers in time to relieve epigastric pain.

38. The patient was a 55-year-old male. Pulmonary heart disease complicated with type Ⅱ respiratory failure should be given oxygen according to the doctor's advice. The patient got better quickly.

Shape, self-regulating oxygen flow, sweating heavily after 30 minutes, fidgety, muscle tremor, intermittent convulsions. Think about this disease.

Most likely to happen at the same time.

A. Oxygen poisoning

B. Pulmonary encephalopathy

C. hypocalcemia

D. Hypomagnesemia

E. Hypokalemia

39. The patient was a 34-year-old male. Traumatic pneumothorax According to the doctor's advice, give closed thoracic drainage, and the drainage device is shown in the figure. At present, the device exerts pressure on his chest. The pressure is -60 cm water column.

B.-4 cm water column

C.0 cmH2O

D.-8 cm water column

E.60cmH2O

A hospitalized patient was diagnosed as fungal pneumonia by X-ray and sputum examination because of persistent cough and excessive phlegm. During the nursing evaluation,

The pathogenic factors to be considered do not include

A. Whether to use immunosuppressants

B. Whether to use broad-spectrum antibiotics for a long time

C.have you ever used glucocorticoid?

D. Is there any oral candida infection?

E. Is there a history of oxygen inhalation by nasal catheter?

4 1. After radical nephrectomy, the normal removal time of retroperitoneal drainage tube is A.65438+ 0 days after operation.

B.2 ~ 3 days C.4 ~ 5 days D.5 ~ 6 days E.7 days

42. The patient was a 28-year-old male. Sudden chest pain for 2 hours was diagnosed as spontaneous pneumothorax. Physical examination: T36.8, P90 times/minute, breathing 22 times/minute; The right intercostal space is widened, the trill disappears, and the drum sound is percussion sound. The changes of liver voiced boundary are as follows

A. Move down

B. Promotion

C. move to the left

D. move to the right

E. unchanged

43. A boy of 13 years old recently disobeyed his parents' arrangement and often used his own standards to measure the right and wrong. The adolescent psychological characteristics of boys belong to

A. Emotional polarization

B. Increased independence

C. Psychological "locking"

D. Psychological over-maturity

E. impulsive behavior

44. The focus of adolescent health care is not

A. Reasonable nutrition

B. Health education

C. Accident prevention

D. planned immunization

E. Legal education

45. A 4-month-old child was artificially fed. Recently, paroxysmal dyspnea occurred repeatedly, accompanied by laryngeal wheezing when inhaling, and he was admitted to the hospital in an emergency. Blood calcium 1.7mmol/L, the rest are normal. First, the child appeared.

A. Toxic pneumonia

B. Throat spasm

C. Tracheal foreign body

D. vibration

E. bronchial asthma

Analysis: The child's blood calcium is lower than1.75mmol/L.

A 46.30-year-old female patient with acute cellulitis of lower limbs and symptoms of systemic infection needs blood for antibiotic susceptibility test, and the best time for blood collection should be in the patient's body.

A. During the cold war

B. Have a high fever

C. intermittent fever

D. When antibiotics are injected intravenously,

E. After antibiotic use

47. The patient was a 32-year-old female. He was admitted to hospital due to palpitation, edema and sitting breathing, and was diagnosed as hypertrophic cardiomyopathy. When nurses collect medical history, the first thing to ask is whether the patient has it.

A. Application of chemotherapy drugs

B. History of virus infection

C. History of home decoration

D. History of alcoholism

E. Family calendar

48. The patient was a 30-year-old female. Acute bronchitis. Severe cough, purulent sputum, large amount, chest pain when coughing. Physical examination: T37.8℃, P98 times/minute, R20 times/minute. At present, the patient's main nursing problems are

A. cleaning the respiratory tract is ineffective.

B. pain

C. Gas exchange is damaged

D. excessive heat

E. lack of knowledge

49. A patient was taken to hospital with diarrhea and vomiting. Electrocardiogram showed that ST segment level was decreased, T wave was inverted and U wave was increased. The most likely reason is that

A. Hyperkalemia

B. Hypokalemia

C. hypercalcemia

D. foxglove effect

E. digitalis poisoning

50. Hallucinations are the most common perceptual obstacles in schizophrenics, among which the most common hallucinations are

A. fantasy

B. auditory hallucination

C. Phantom odor

D. magical taste

E. visceral hallucination

5 1. A newborn was born without breathing, with a heart rate below 90 beats/min, pale body and weak limbs. After cleaning the respiratory tract, the next rescue measure is

A. Drug therapy

B. Chest compressions

C. heat preservation

D. establish breathing and increase ventilation

E. establishing venous access

52. The patient was a 60-year-old female. Chronic cough and expectoration for 30 years, edema of lower limbs 1 year. In the past half a month, the cough has worsened and the amount of sputum has increased, which is yellow pus and phlegm. Dyspnea, abdominal distension, loss of appetite. It was diagnosed as chronic pulmonary heart disease and respiratory failure. Improper contents of patient health education include

A. Encourage patients to take cold-resistant exercises, such as washing their faces with cold water.

B. Avoid inhaling irritating gases

C go to crowded public places as little as possible to reduce the chance of respiratory tract infection.

D. Antibiotics can be used for a long time to prevent respiratory infection.

E. actively improve the diet structure and strengthen nutrition.

53. The patient was a 20-year-old female with chills and fever. She has a bright red flaky rash on the inner skin of her right calf, burning pain and swollen lymph nodes nearby. The wrong nursing measures are

A. Use antibiotics according to the doctor's advice

B. tell the patient not to raise the affected limb.

C. Local wet compress and hot compress

D, giving physical cooling.

E. ask the patient to stay in bed.

54. The patient was a 72-year-old male. He was admitted to hospital for acute anterior myocardial infarction. After admission, mask oxygen inhalation has been carried out, venous access has been established, ECG monitoring shows frequent multi-source ventricular premature beats, and nurses are preparing rescue supplies at the bedside. Most importantly.

A. oxygen saturation meter

B. tracheotomy kit

C. sputum aspirator

D. Defibrillator

E. ventilator

55. The patient was a 46-year-old male. A construction worker was diagnosed with tetanus when he was admitted to hospital. The following is the most relevant past medical history of this disease

A. History of diabetes

B.i was stabbed by a nail at work.

C. Family history of hypertension

D. Smoking for 20 years

E. allergic to pollen

56. Premature infants, 2 days after birth, with a gestational age of 34 weeks. Because cyanosis should be given oxygen, in order to prevent its oxygen poisoning, the correct way is

A, maintaining arterial oxygen partial pressure at 80-90mmhg

B. maintain percutaneous oxygen saturation at 85% ~ 93%.

C. continuous oxygen inhalation time shall not exceed 7 days.

D, the oxygen concentration is 70%-80%

E. Give positive mechanical ventilation.

Analysis: the oxygen concentration should be 30% ~ 40%, the oxygen inhalation time should not exceed 3 days, and oxygen should be used under blood gas monitoring to maintain the percutaneous oxygen saturation at 85% ~ 93%.

57. The patient was a 48-year-old male. After radical gastrectomy 1 month. Recently, I went back to see a doctor. The main complaints were palpitation, sweating, pale face, headache and fullness and discomfort in the upper abdomen within half an hour after eating. It is inappropriate for nurses to give them health education.

A. it is advisable to eat in small quantities.

B. limit drinking water and soup during meals.

C. It is advisable to exercise for 20 minutes after eating and resting.

D. it is advisable to enter a diet with low carbohydrate and high protein.

E avoid a liquid diet that is too sweet, salty and thick.

58. A full-term baby girl was born with the umbilical cord around her neck. Apgar score was 1 min after birth. After 5 minutes of asphyxiation and resuscitation for 2 minutes, the baby was still sleepy, with poor response and vomiting. Inappropriate care for children at this time is

A. oxygen inhalation by hood

B. Detection of vital signs

C. Start milking immediately

D. Combined with hypothermia therapy

E. heat preservation

59. A pregnant woman, 29 weeks pregnant, came to the hospital for examination because of painless vaginal bleeding without inducement. At this time, generally do not advocate the exam is

A. measuring blood pressure

B. Fetal heart monitoring

C. Ultrasonic examination

D. Abdominal examination

E. vaginal examination

60. The child is male, 1 year old. Come in anorexia, vomiting, low reaction, less crying and no laughing. The physical examination showed that the child's face was swollen.

Pale skin, dull expression, trembling limbs and head. The doctor suggested the treatment with vitamin B 12. If the treatment is effective, the patient should receive treatment.

The first change that happened to my son was

A. reticulocytosis

B. Elevated hemoglobin

C. Mental and food improvement

D. Tremor relief

E. turn red

6 1. Nurses should pay close attention to the risk of getting lost when patients with Alzheimer's disease have any of the following conditions.

A. the language is long and repetitive.

B. Emotion is high and words are excited

C. Feeling nervous and attacking others for no reason.

Wandering around, walking aimlessly

E. Refusing correct opinions and being stubborn.

62. The patient was a 36-year-old female. He was admitted to hospital with severe aplastic anemia. Physical examination found that the skin of limbs was scattered with ecchymosis and there were many places in the mouth.

Ulcer, about 1.0cm× 1.5cm most, tenderness, gingival bleeding; Slight congestion in the pharynx. In view of the current situation, the nursing measures to prevent oral infection are as follows

A. Living in a dark room.

B. Tell the patient to wear a mask

C, according to the PH value, choose disinfection mouthwash, three times a day.

D. brush your teeth more than 3 times a day.

E. don't go out for a while.

63. The patient was a 30-year-old male. He was admitted to the hospital because of recurrent epigastric pain 1 year and aggravated for 3 days. When the nurse patrolled at night, the patient complained of aggravated upper abdominal pain and profuse sweating. At this time, the most meaningful measures that nurses should take are

A. Half-sitting

B. Use painkillers according to the doctor's advice

C. Check the tension of abdominal muscles for tenderness and rebound pain.

D. acupuncture or hot compress

E. Excessive loss of drinking water

64. A baby boy, aged 13, drowned while swimming. After being rescued, the first-aid personnel should take the following treatment measures for the baby.

First, give cardiotonic drugs

B, establish venous access

C, mouth-to-mouth artificial respiration

D, chest compression

E, keep the respiratory tract unobstructed

65. A pregnant woman, G2P0. 30 weeks pregnant. Regular lower abdominal pain with vaginal bleeding secretion for 6 hours. Physical examination: fetal position LOA, fetal heart rate 146 times/min, contractions for 20 seconds /7 ~ 8 minutes, weak contractions, S-3 exposed first in anal examination, shortened cervical canal, and the cervix can accommodate a fingertip. At present, the most appropriate treatment measures are

A. Watch closely and wait for natural delivery.

B. intravenous injection of oxytocin to strengthen uterine contraction

C. treatment to inhibit uterine contraction and prevent abortion

D. Immediately perform cesarean section to terminate pregnancy.

E. determine the mode of delivery after vaginal examination

66. The patient was a 64-year-old female. Fracture of right femoral head caused by falling. Due to severe heart and lung diseases, after 12 weeks of non-surgical treatment, the pain in the hip joint is still not relieved, and the lower limbs are limited in movement and unable to stand and walk. The first consideration is the patient's appearance.

A. Joint dislocation

B, combined infection

C, inhibit uterine contraction, prevent miscarriage.

D, immediately carry out uterine delivery to terminate pregnancy.

E, determine the delivery mode after vaginal examination.

67-year-old female with varicose veins of lower limbs for several years recently received sclerosing agent injection treatment, and the nurse gave her health education. The correct content is as follows

A, can't walk during bandage pressure.

B, bandage pressure dressing period can't stand for a long time.

C. When sitting, your knees can be crossed for a long time.

D, pressure bandage for one month.

E you can wear tights.

68. Rice soup and porridge that should be added to your baby's diet. What is your baby's age?

I. 1~3 months

B, 4~6 months

C, 7~9 months

D, 10~ 12 months

14 months

69. The patient was a 55-year-old male. Bronchiectasis for 20 years. In recent years, the tip of the finger has become thicker and thicker, and the nail has a clubbed finger arch from the root to the end. The main reason for this change in this patient is that

First, chronic hypoxia

B, malnutrition

C, repeated infection

D, lack of sleep

E, excessive exercise

70. The patient was a 64-year-old male. One day after the operation of benign prostatic hyperplasia, the nurse gave him health education. The correct content is as follows

A. Strengthen exercise after operation

B. Drink less water early after operation

C. Abnormal urination will disappear within 2 months after operation.

D. levator ani exercise should be performed after operation.

E. avoid going out for half a year after operation.

7 1. The patient was a 30-year-old woman who was diagnosed with rheumatoid arthritis and was hospitalized. After medication, the patient's joint pain was relieved, but she had no symptoms.

Now weight gain, full moon face and centripetal obesity suggest what kind of side effects drugs have.

A. prednisone

B. cyclophosphamide

C. imidazole thiopurine

D. indomethacin

E. aspirin

For more knowledge, you can pay attention to nurse notes WeChat: hushibiji

72. The patient was a 53-year-old female. Suffering from rheumatoid arthritis, he is receiving medication. Recently, due to the weather, his finger joints are wet and cold.

The pain is aggravated, and the morning stiffness can reach several hours, accompanied by dyskinesia. At present, the correct nursing measures are

A. Wear gloves before going to bed

B. Cold compress hand joints in the morning

C. keep your hand joints stretched.

D. increase the range of motion of hand joints

E. increase the range of motion of hand joints.

73. The patient was a 55-year-old female. She was admitted to the hospital for irregular vaginal bleeding five years after menopause and was diagnosed as endometrial adenocarcinoma. Patients consult the most commonly used treatment plan for this disease, and the nurse's correct answer is

A. chemotherapy

B, surgical treatment

C, traditional Chinese medicine radiotherapy

D, radiotherapy

E. Combination of radiotherapy and chemotherapy

74. A pregnant woman, 32 years old, 38 weeks pregnant, palpated her abdomen. The fundus of the uterus can touch the round and hard fetal part. The right side of the abdomen is uneven, and the left side is flat. The fetal heart sound is most clearly heard on the left side of the umbilicus. The fetal position of this pregnant woman may be

First, the left occipital anterior position

B, right anterior occipital position

C, sacrum left anterior position

Right anterior sacrum

E. Position of right front shoulder

75. The patient was a 35-year-old female. Married, depressed, lack of interest, slow for nearly three weeks, consciously "stupid, not as smart as before, like a piece of wood", given prozac and other treatments, nurses need to explain to patients the adverse reactions of this drug are

A. excessive sweating

B, lethargy

C, gastrointestinal dysfunction

D, cyanosis of mouth and lips

E, cardiovascular system disorder

76, there will be abnormal breathing is

empyema

B, barrels and boxes

C. pectus excavatum

D, flail chest

Hemopneumothorax

A 77-year-old and 27-year-old female patient with rheumatic valvular disease suffered from mitral stenosis with insufficiency for 2 years. 1 week ago was admitted to the hospital due to the aggravation of her illness after catching a cold. Incorrect nursing measures are as follows

A, take aspirin on an empty stomach

B, take your temperature regularly, and pay attention to the heat type.

C, stay in bed and reduce activities.

D, eat a light and digestible high-calorie and high-protein diet

Keep your mouth clean.

78. Regarding the guidance for patients with inguinal hernia incarceration after discharge, it is correct that

A. Reduce and eliminate the causes of recurrence of external abdominal hernia

B avoid heavy physical labor or lifting heavy objects within 3 days after discharge.

C. stay in bed and don't increase your activities. D. eat irritating food.

E. there is no need for regular follow-up after discharge.

For more knowledge, you can pay attention to nurse notes WeChat: hushibiji

79. The patient was a 52-year-old female. Due to chronic heart failure, long-term low-salt diet, diuretic and digitalis treatment, fatigue, loss of appetite, indifference and lethargy have recently appeared, which should be considered first.

A. left heart failure aggravates

B. digitalis poisoning

C. electrolyte disorder

D. Secondary infection

E. dyspepsia

80. Things that do not belong to family visits of newborns A. Asking about the birth of newborns

B. Observe the general situation of newborns

C. Physical examination of newborns

D. Guided feeding and daily care

E. Neonatal vaccination

8 1. The simplest and most effective way for pregnant women to monitor fetal safety is

A. Fetal movement count

B, calculating the rhyme age

C, measuring weight

D, sleep situation

emotional disturbance

82, a 5-year-old boy, came in to drink more water, his appetite increased greatly, but his weight dropped, and he was tired and weak at the same time. He urinates many times at night and even wets the bed. The most likely diagnosis of this child is

A. enuresis

B. diabetes insipidus

C. diabetes

D. Glomerulonephritis

E. hyperthyroidism

83. The baby is a boy, 10 days after birth. Come to the hospital because of abnormal oral mucosa. Physical examination found that the oral mucosa had small spots like white milk lumps, which gathered into small pieces. Parents said it was difficult to erase them. At present, the child's diet is normal and there are no systemic symptoms. What should this child choose for local treatment of oral mucosa?

2% lidocaine

B.3% hydrogen peroxide solution

C.65438+100,000 u/ml nystatin cod liver oil suspension solution

D.2% sodium bicarbonate solution

E.2.5% chlortetracycline cod liver oil