优先排序与委派练习卷（附答案）

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. ASlow, and expected while the patient is asleep
2. BWithin the normal adult range
3. CNormal after a meal
4. DAbnormally fast and needing assessment

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AIbuprofen
2. BAspirin, chewed
3. CAcetaminophen (paracetamol)
4. DCodeine

根据马斯洛的需要层次理论，护士通常首先处理哪项患者问题？

1. A社交孤立
2. B气体交换受损
3. C夜间有跌倒风险
4. D自尊低下

Which practice makes a shift handover safest?

1. ALeaving a sticky note on the computer screen for the next nurse
2. BA structured format, such as SBAR, with time for questions
3. CHanding over only the patients who had problems during the shift
4. DA quick chat in the corridor with no notes taken

一名护理助理拒绝一项被委派的任务，说他们没有接受过这项任务的培训。护士最好的回应是什么？

1. A告诉助理这在岗位说明里，必须完成
2. B把任务留给下一班，到时有受过培训的人在
3. C因拒绝任务而向经理举报该助理
4. D感谢助理，确保任务被安全完成，并安排培训

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. ACheck the blood glucose and ketones and contact the provider
2. BEncourage a large meal to settle the stomach
3. CWait until tomorrow to see if the vomiting settles
4. DStop all insulin until the patient is able to eat normally again

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. AReport it at once, as it may mean the brain is being compressed
2. BDocument it, because pupils often differ slightly after a head injury
3. CRecheck it at the next routine observation in four hours
4. DDim the room lights so the pupil can get smaller

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ANeurogenic shock
2. BSeptic shock
3. CHypovolemic shock
4. DCardiac tamponade