优先排序与委派练习卷（附答案）

In stroke care, what does the “last known well” time mean?

1. AThe time the first symptom was noticed by a stranger
2. BThe last time the patient was seen without stroke symptoms
3. CThe time the patient arrived at the hospital and was triaged
4. DThe time of the patient’s last meal

哪位患者最稳定？

1. A血压从 132/80 降至 90/56 mmHg 的患者
2. B膝关节手术后两天，疼痛 3/10，生命体征正常的患者
3. C新发胸痛的患者
4. D新出现意识模糊的患者

Which type of stroke is the most common?

1. AHemorrhagic stroke
2. BIschemic stroke
3. CVenous sinus thrombosis
4. DSubarachnoid hemorrhage

交班后，护士应首先看哪位患者？

1. A一名骨关节炎患者，诉说每天早晨僵硬
2. B一名服用利尿剂的患者，自 08:00 起已排尿 400 mL
3. C一名想在访客到来之前得到帮助淋浴的患者
4. D一名新打石膏的患者，说足部发麻，脚趾发凉

一名成年患者在活动室进食时，突然双手抓住喉咙，无法说话、呼吸或咳嗽。护士应首先做什么？

1. A等着看患者能否咳出来
2. B盲目用手指在口中掏取
3. C呼救，并进行拍背和腹部冲击
4. D给患者一杯水把食物冲下去

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AMeasure blood pressure on the left arm only, every 4 hours
2. BKeep the left arm wrapped tightly in a bandage at night
3. CHelp the patient carry shopping bags on the left arm
4. DDo not measure blood pressure on the left arm

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. ASlow the infusion and give an antiemetic as prescribed
2. BGive a dose of aspirin for the headache
3. CStop the infusion and inform the provider at once
4. DContinue the infusion, because headache is expected

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AStress-induced mild hyperglycemia
2. BHyperosmolar hyperglycemic state
3. CHypoglycemia with rebound
4. DDiabetic ketoacidosis