2025年护理技能实操考核题库.pdfVIP

2025年护理技能实操考核题库

考试时间：______分钟总分：______分姓名：______

一、Scenario:Post-OperativeCare

A65-year-oldmalepatient,whounderwentelectiveabdominalsurgery

yesterday,isnowintherecoveryroom.Heisalertandoriented,with

stablevitalsigns:bloodpressure138/82mmHg,heartrate78beatsper

minute,respiratoryrate16breathsperminute,andoxygensaturation98%

onroomair.Thesurgicalincisioniscoveredwithasteriledressing

andthereisminimaldrainage.Thepatientreportsmildabdominal

discomfortrated3/10.Thenurseispreparingtodischargethepatient

hometoday.Beforedoingso,whataretheessentialassessmentsand

instructionsthenursemustperformandprovide?

二、Scenario:PatientwithHypertension

Youarecaringfora72-year-oldfemalepatientwithahistoryof

hypertension.Hercurrentbloodpressurereadingis210/110mmHg.The

patientisasymptomatic.Thehealthcareproviderhasorderedablood

pressuremedicationtobeadministeredimmediately.Whatmedication

classiscommonlyorderedforacutehypertensivecrisis,andwhatare

thekeymonitoringparametersthenurseshouldprioritizeafter

administeringthemedication?

三、Scenario:PatientReceivingIntravenousTherapy

A45-year-oldmalepatientwithdehydrationisreceivingintravenous

(IV)fluidsviaaperipheralIVline.TheIVfluidisD50.45%NaClat

100mL/hour.ThenurseassessesthepatientsIVsiteeveryshift.What

signsandsymptomswouldindicateapotentialIVinfiltration,andwhat

immediateactionsshouldthenursetakeifinfiltrationissuspected?

四、Scenario:PatientwithImpendingLabor

A28-year-oldfemalepatient,at40+2weeksgestation,arrivesat

thelaboranddeliveryunit.Sheisexperiencingregularcontractions

every5minutes,lasting30seconds,withherwaterbreaking.Thenurse

isassignedtoassisther.Whataretheinitialstepsthenurseshould

taketoprepa