ISPN考试模拟试题(十七)

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ISPN考试模拟试题(二十九)

ISPN考试模拟试题（三十）Practice Test Questions88. The nurse hears a client calling out for help, hurries down the hallway to the client’s room and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report?1. The client fell out of bed.2. The client climbed over the side rails.3. The client was found lying on the floor.4. The client became restless and tried to get out of bed.89. A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action?1. Obtain a court order for the surgical procedure.2. Ask the EMS team to sign the informed consent.3. Transport the victim to the operating room for surgery.4. Call the police to identify the client and locate the family.90. The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next?1. Reassess the client.2. Conduct a staff meeting to describe the fall.3. Document in the nurse’s notes that an incident report was completed.4. Contact the nursing supervisor to update information regarding the fall. 88. 3Rationale:The incident report should contain the client’s name, age, and diagnosis. The report should contain a factual description of the incident, any injuries experienced by those involved, and the outcome of the situation. The correct option is the only one that describes the facts as observed by the nurse. Options 1, 2, and 4 are interpretations of the situation and are not factual information as observed by the nurse.Test-Taking Strategy: Focus on the subject, documentation ofevents, and read the information in the question to select when documenting, and avoid including interpretations. This will direct you to the correctoption.Client Needs: Safe and Effective Care Environment89. 3Rationale: In general, there are two situations in which informed consent ofan adult client is not needed. One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent. Option 1 will delay emergency treatment, and option 2 is inappropriate. Although option 4 may be pursued, it is not the best action.Test-Taking Strategy: Note the strategic word best. Recalling that when an emergency is present and a delay in treatment for the purpose of obtaining informed consent could result in injury or death will direct you tothe correct option.Client Needs: Safe and Effective Care Environment90. 1Rationale: After a client’s fall, the nurse must frequently reassess the client because potential complications do not always appearimmediately after that fall. The client’s fall should be treated as private information and shared on a “need to know” basis. Communication regarding the event should involve only the individuals participating in the client’s care. An incident report is aproblem-solving document; however, its completion is not documented in the nurse’s notes. If the nursing supervisor has been made aware of the incident, the supervisor will contact the nurse if status update is necessary.Test-Taking Strategy: Focus on the data in the question and thestrategic word next. Using the steps of the nursing process will direct you to the correct option. Remember that assessment is the first step.。

ISPN考试模拟试题(二十五)

ISPN考试模拟试题（二十六）Practice Test Questions76. The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?1. Reflecting a cultural value2. An acceptance of the treatment3. Client agreement to the required procedures4. Client understanding of the preoperative procedures77. When communicating with a client who speaks a different language, which best practice should the nurse implement?1. Speak loudly and slowly2. Arrange for an interpreter to translate3. Speak to the client and family together4. Stand close to the client and speak loudly78. The nurse educator is providing in-sevice education to the nursing staff regarding transcultural nursing care;a staff member asks the nurse educator to describe the concept of acculturation. The nurse educator should make which most appropriate response?1. “It is a process of learning a differ ent culture to adapt to a new or changing environment.”2. “It is a subjective perspective of theperson’s heritage and a sense of belonging to a group.”3. “It is a group of individuals in society who are culturally distinct and have a unique identity.”4. “It is a group that shares some of the characteristics of the larger population group of which it is a part.”76. Rationales: Nodding or smiling by a Japanese American client may reflect only the cultural value of interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the treatment, agreement with the speaker, or understanding of the procedure.Test-Taking Strategy: Eliminate options 2 and 3 first because they are comparable or alike. From the remaining options, select the correct option because it is characteristic of Asian American cultures. In addition, option 4 is an incorrect interpretation of the client’s nonverbal behavior.Client Needs: Psychosocial Integrity77. Rationale: Arranging for an interpreter would be the best practice when communicating witha client who speaks a different language. Options 1 and 4 are inappropriate and are ineffective ways to communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct translation.Test-Taking Strategy: Note the strategic word best in the question. Eliminate option 3 first because it violates the client’s right toprivacy. Next, eliminate options 1 and 4 noting the word loudly in theseoptions and because they are non therapeutic translation.Client Needs: Psychosocial Integrity78. Rationale: Acculturation is a process of learning a different culture to adapt to anew or changing environment. Option 2 describes ethnic identity. Option 3 describes an ethnic group. Option 4 describes a subculture.Test-Taking Strategy: Note the strategic words most appropriate.Focus on the subject, acculturation. Think about the definition ofacculturation to help direct you to the correct option.Client Needs: Psychosocial Integrity。

IPRAN试题

PTN试题一、填空题（每题2分，共50分）1.CiTRANS 620 EMU 拨号开关K3的第2位用来决定IP地址设置方式，拨为OFF表示通过拨号开关来确定，拨为ON表示由小网管配置来确定。

2.CiTRANS 660设备的交叉容量为160G，上框所有槽位支持的最大的交叉条目总和是1022条，GSJ2支持的可配置的交叉最大条目是1022条3.CiTRANS 660设备上框支持16～1C槽位支持1：6保护、1：2保护和1：1保护三种TPS保护，16槽位可以保护17，18，19，1A,1B,1C////17槽位。

4.CiTRANS 620设备支持多种接口，最多支持2个光FE口和4个电FE口，2个GE接口和16个E1接口。

5.做2M业务时，需要关联PW，此时的PW标签值对应于PW链路号，取值范围是1-16，E1J1盘通过端子板对外提供16路E1的信号接入。

6.对于低阶业务，也就是百兆和2M业务，当业务是做在不同单盘时，VPWS-ID不能重复；当业务是做在同一单盘时，VPWS-ID不能重复；对于高阶业务，也就是千兆业务，当业务是做在不同单盘时，VPWS-ID允许重复7.VPLS提供以太网的多点服务。

LAN口成员是VPLS在用户侧的成员端口。

仿真LAN口是VPLS在系统侧的成员端口。

LAN成员和仿真LAN成员都是虚拟端口。

水平分割打开的端口之间不转发业务。

用于实现EP-TREE和EVP-TREE组网模型。

8.CiTRANS 620设备做基于VLAN业务时，每条VPWS最多添加1条流，做2M业务时，每条VPWS最多添加1条流。

9.因为保护的需要，WRAPPING保护环上配置的双向业务的标签值必须不相同。

所以标签间隔应该不为010.CiTRANS 620设备做LSP1：1和LSP1+1保护时，工作业务和保护业务标签值必须相同，CiTRANS 640设备做LSP保护时，工作业务和保护业务标签值必须不同11.VPWS的英文全称是VIRTUAL PRIVA TE WIRE SERVICE,中文翻译为虚拟专用线服务12.VPLS的英文全称是Virtual Private LAN Service ，中文翻译为虚拟专用局域网服务13.以太网业务可分为E-LINE、E-TREE和E-LAN三种。

ISPN考试模拟试题(六)

ISPN考试模拟试题（六）Practice Test Questions16. A patient who had a head injury develops clear drainage from the nares. Which of these actions should a nurse take?A. Pack the nares with sterile cottonB. Collect the drainage specimen for cultureC. Gently suction the naresD. Check the drainage for glucose17. Which of these actions should a nurse take first when initiating cardiopulmonary resuscitation?A. Determine responsivenessB. Palpate carotid pulseC. Begin chest compressionsD. Monitor respirations18. A client is given instruction about collecting a mucus specimen forcytology. Which of these statements, if made by the client, would indicate correct understanding of the instructions?A. “I will spit up the mucus after keeping my head lower than my body for afew minutes.”B. “I will cough up the mucus into the container after a few deep coughs.”C. “I will plan to collect the mucus before retiring for the night.”D. “I will avoid drinking any liquids before coughing up the mucus from mychest.”Rationales16. Key: D Client Need: Physiologic AdaptationD. Apositive test for glucose may indicate the presence of cerebrospinal fluid.A. The nurse should not pack the nares of a patient with a head injury.B. The drainage is clear and does not require a culture and sensitivity.C. Nasal suctioning should not be undertaken in the patient with a suspected head injury.17. Key: A Client Need: Management of CareA. If the individual is responsive, CPR may not be necessary. This action should be carried out first.B. Responsiveness should be determined first.C. Compressions should not be started until responsiveness and breathing are determined.D. Responsiveness should be established first followed by breathing.18. Key: B Client Need: Safety and Infection ControlB. Expectoration of mucus requires deep coughing rather than “spitting”.A. Deep coughing is required to produce a sputum specimen.C. Mucus collection does not have to occur at night.D. Liquids may facilitate expectoration of mucus.。

ISPN考试模拟试题(十四)

ISPN考试模拟试题（十四）Practice Test Questions40. A client who has Ménière’s syndrome has been given instructions about the condition. Which of these comments, if made by the client, would indicate to the nurse that the instructions were understood?A. “I will have someone drive when I am experiencing symptoms.”B. “I will irrigate my ears with warm water every day.”C. “I will obtain a hearing aid to improve my hearing.”D. “I will wear a hat in the cold weather, so I don’t develop symptoms.41. Which of these goals of therapy should the nurse include in the care plan of a client who has second-stage Alzheimer’s disease?A. The client will live comfortably within the limitations of the disease.B. The client will increase sensitivity to the effect of the disease onothers.C. The client will engage in working through issues from the past.D. The client will identify at least three personal strengths.42. Which of the following interventions should be added to the nursing care plan for a patient who has difficulty swallowing after a stroke?A. Serve food at room temperatureB. Thicken liquids before feedingC. Elevate head of bed 180 degrees during feedingsD. Place food as far back in the mouth as possibleRationales40. Key: A Client Need: Physiologic AdaptationA. Asymptom of Ménière’s syndrome is vertigo. The client should avoid driving.B. This action by the client may cause vertigo.C. Hearing loss is not a manifestation of Ménière’s syndrome.D. Exposure to cold does not trigger symptoms.41. Key: A Client Need: Management of CareA. Goals of care for a client who has second-stage Alzheimer’s disease are client safety and helping the client to live comfortably.B. Client goal is not realistic. A client in the second stage ofAlzheimer’sdise ase would exhibit increased forgetfulness making it difficult to function at work, to remember directions, and to even make it through the day without difficulty. The person may be restless and unable to sleep at night. C. Client goal is not realistic. Forgetfulness and memory deficits preventworking through issues from the past.D. Client goal is not realistic. As the Alzheimer’s progresses in thesecond stage, the individual has difficulty articulating feelings or making requests.42. Key: B Client Need: Safety and Infection ControlB. Thin fluids are the most difficult to control for a patient with aswallowing problem. Thin fluids can be thickened in order to enhance swallowing and to decrease the chance of aspiration. Fluids can be thickened with powders made especially for this problem, or the dietician can add things such as yogurt or pudding.A. Food should be served according to the patient’s preference, and whatever temperature stimulates sensory perception to the patient. Serving food that is eithe r too warm or too cold may interfere with the patient’s ability to swallow and may decrease the desire to eat.C. The patient should be in a high-Fowler’s position in order to maintain a straight GI tract and enhance motility through the tract.D. Food should be placed in the unaffected side of the mouth when the patient has suffered a stroke. Placing food too far back in the mouth may cause the patient to choke. Food should be placed no further back than midway.。

ISPN考试模拟试题(二十七)

ISPN考试模拟试题（二十七）Practice Test Questions82. The nurse is preparing a plan of carefor a client who is a Jehovah’s Witness. The client has been told that surgery is necessary. The nurse considers the client’s religious preferences in developing the plan of care and should document which information?1. The client believes the soul lives onafter death.2. Medication administration is not allowed.3. Surgery is prohibited in this religious group.4. The administration of blood and blood products is not allowed.83. Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?1. Pork roast, rice, vegetables, mixed fruit, milk2. Crab salad on a croissant, vegetables with dip, potato salad, milk3. Sweet and sour chicken with rice and vegetables, mixed fruit, juice4. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea84. An Asian American client is experiencing a fever. The nurse recognizes that the client is likely to self-treat the disorder, using which method?1. Prayer2. Magnetic therapy3. Foods considered to be yin4. Foods considered to be yang82. 4Rationale:Among Jehovah’s Witnesses, surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death. Administration of medication is an acceptable practice except if the medication is derived from blood products.Test-Taking Strategy: Focus on the subject, beliefs of Jehovah’sWitnesses. Remember that the administration of blood and any associated blood products is forbidden among Jehovah’s Witnesses.Client Needs: Psychosocial Integrity83. 3Rationale:Orthodox Judaism believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered.Test-Taking Strategy: Focus on the subject, dietary kosher laws, and recall that the dairy-meat combination is unacceptable in the Orthodox Judaism group. Eliminate option 1 because this potion contains pork roast and milk. Next eliminate option 2 and 4 because both options contain shellfish.Client Needs: Psychosocial Integrity84. 3Rationale:In the Asian-American culture, health is believed to be a state of physical and spiritual harmony with nature and a balancebetween positive and negative energy forces (yin and yang). Yin foods are coldand yang foods are hot. Cold foods are eaten when one has a hot illness(fever), and hot foods are eaten when one has a cold illness. Options 1 and 2 are not health practices specifically associated with the Asian American culture on the yin and yang theory.Test-Taking Strategy: Focus on the subject, and Asian American,and the client’s diagnosis, fever. Remember that cold foods (yin foods) areeaten when on has a hot illness, and hot foods (yang foods) are eaten when one has a cold illness.Client Needs: Psychosocial Integrity。

ISPN考试模拟试题(二十三)

ISPN考试模拟试题（二十三）Practice Test Questions67. A nurse gives a client instructions aboutsigns and symptoms of digitalis toxicity. Which of these statements, if made by the client, would indicate a correct understanding of the instructions?A. “I may feel thirsty.”B. “I may develop a dry, hacking cough.”C. “I may notice some tingling in my fingertips.”D. “I may lose my appetite.”68. A 4-year-old child has just returned to the pediatric unit from the recovery room after having a tonsillectomy. Which of these symptoms should the nurse recognize as indicative of postoperativehemorrhage in the child?A. Pink-tinged salivaB. Frequent swallowingC. Rise in the pitch of voiceD. Refusal to move head69. Which of the following questions should the nurse ask a client to help establish a diagnosis of acquired immune deficiency syndrome (AIDS)?A. “Do you have numbness of the extremities?”B. “Do you bruise easily?”C. “Have you noticed any changes in your abilityto urinate?”D. “Have you noticed any sores in your mouth?”Rationales67. Key:D Client Need: Pharmacological and Parenteral TherapiesD. A side effect of digitalis administration is anorexia.A. Increased thirst is not indicative ofdigitalis toxicity.B. Dry, hacking cough is a side effect of ACE inhibitor administration.C. Tingling in the fingers may be indicative of a vitamin deficiency or circulatory problems.68. Key:B Client Need: Reduction of Risk PotentialB. A patient who has had a tonsillectomy and is hemorrhaging tries to rid the back of the throat of accumulating fluid (blood) by swallowing more frequently.A. Bright red rather than pink-tinged saliva would be an indicator of hemorrhage.C. Alteration in pitch of voice is not an indicator of post-operative hemorrhage.D. Refusal to move the head is more an indicator of pain than hemorrhage.69. Key:D Client Need: Physiologic AdaptationD. Sores in the mouth indicate a weakened immune system and the development ofopportunistic infections.A.Numbness of the extremities may be indicative of neurologic problems rather than AIDS.B. Easybruising may be indicative of alterations in clotting mechanism rather thanAIDS.C.Changes in urinary patterns may be indicative of renal disease rather than AIDS.。

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ISPN考试模拟试题（十七）
Practice Test Questions
49. A hospitalized infant being treated for gastroenteritis is started on oral feedings of clear liquids. Within an hour of the feeding, the infant has three watery stools. Which of these actions should the nurse take initially?
A. Weigh the infant
B. Stop the oral feedings
C. Dilute the clear liquids with sterile water
D. Check the stool for reducing substances
50. To which of the following nursing diagnoses should a nurse give priorityin the care of a client who is receiving chemotherapy for treatment of breast cancer?
A. Risk for infection
B. Altered nutrition: less than body requirements
C. Altered sexuality patterns
D. Impaired physical mobility
51. A woman who is 34 weeks pregnant should be instructed to notify a nurse in the prenatal clinic immediately if which of these symptoms develops?
A. Postprandial heartburn
B. Hard stools
C. Facial edema
D. Afternoon fatigue
Rationales
49. Key: B Client Need: Management of Care
B. Oral feedings should be stopped and the infant hydrated by other means, since the infant is unable to tolerate oral feedings.
A. The infant would be weighed daily but it is not the priority action in this case.
C. Oral fluids should be stopped and the infant hydrated by other means.
D. Checking the stool for reducing substances is not a priority action.
50. Key: A Client Need: Safety and Infection Control
A. Chemotherapeutic agents cause bone marrow suppression. This results indecreased leukocytes, erythrocytes and platelets. Decreased white cells cause immunosuppression, which can lead to infection, sepsis and death. Loss of red bloodcells and platelets may result in fatigue and bleeding (GI bleeding andhypovolemic shock). The effects of bone marrow suppression can be lifethreatening.
B. Chemotherapy can lead to malnutrition due to nausea, vomiting and stomatitis. Nutrition is important but not the number one priority.
C. Breast cancer impacts on a woman’s sexuality and self-image. This is especially important in women who are surgically treated for breast cancer. Nursing care for mastectomy clients should involve supporting the woman as shecopes with her changed body image. Support should also be provided to thewoman’s significant other. This is an important part of care but not the priority for women receiving chemotherapy for breast cancer treatment.
D. Impaired physical mobility is usually not a result of chemotherapy. Fatigue due to bone marrow suppression can negatively affect one’s activity level and ability to complete activities of daily living.
51. Key: C ClientNeed: Health Promotion and Maintenance
C. Facial edema may be indicative of pre eclampsia and should be reportedimmediately.
A. This is an anticipated finding because the expanding uterus putspressure on the stomach. The finding does not require immediate intervention.
B. The pressure of the growing fetus can interfere with normal bowelfunction. The finding does not require immediate intervention.
D. Afternoon fatigue is anticipated in the third trimester.。