优先排序与委派练习卷（附答案）

Which of these is one of the standard “rights” of medication administration?

1. ARight ward
2. BRight colleague
3. CRight patient
4. DRight brand

在三级分诊系统中，哪位患者属于危急？

1. A皮疹三天，无发热
2. B腹痛两天，生命体征正常
3. C要求续开处方
4. D胸痛伴出汗和气短

Which patient is unstable?

1. AA patient with a healing leg wound and normal vital signs this morning
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient waiting for a planned hip X-ray
4. DA patient with a new irregular pulse who says they feel dizzy

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AClamp the tube for the rest of the shift
2. BWait for the provider to arrive before doing anything else
3. CRemove the tube and cover the site
4. DPlace the end of the tube in a bottle of sterile water

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Stop and call me at once if she feels dizzy or short of breath.”
3. C“Make sure she wears her own slippers if she has them.”
4. D“Try to finish the walk before the lunch trays arrive.”

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BWrite the order down and read it back to the provider to confirm it
3. CRemember the order and write it in the chart at the end of the shift
4. DAsk the ward clerk to take the order on the nurse’s behalf instead

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AA vaginal examination
2. BWeighing the pads to estimate blood loss
3. CMeasuring the blood pressure and pulse
4. DMonitoring the fetal heart rate

护士应首先关注哪位患者？

1. A一名长期高血压患者，血压 158/94 mmHg，无症状
2. B一名已知有偏头痛的患者，头痛与平时相似
3. C一名患者说这是“我一生中最严重的头痛”，突然发作，血压 170/100 mmHg
4. D一名慢性背痛患者，要求热敷袋