优先排序与委派练习卷（附答案）

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly if the patient is over 65 years old
2. BOnly when the question is asked in writing
3. CNo; asking directly is safe and helps assess the risk
4. DYes; asking about it may give the patient the idea

What does the START in START triage stand for?

1. AStandard Treatment And Referral Tool
2. BSystematic Transfer And Rapid Transport
3. CStaged Triage And Resuscitation Team
4. DSimple Triage And Rapid Treatment

What does “scope of practice” mean?

1. AThe salary range that applies to each nursing role
2. BThe highest number of patients a nurse may care for during a single shift
3. CThe hospital areas where a nurse is allowed to work
4. DThe activities a nurse is educated, competent and legally allowed to do

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AAssess the airway and call for urgent help
2. BGive the next dose of lisinopril with water
3. CTell the patient this is a common, harmless effect
4. DApply a cold pack and recheck in an hour

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will keep taking it even when I feel well.”
2. B“I will take it on an empty stomach with a glass of water.”
3. C“I will take it at breakfast with my calcium tablet.”
4. D“I will take it at the same time each morning.”

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BLay the patient flat to help them breathe more easily
3. CAssess the lungs, oxygen saturation and swelling, then inform the provider
4. DEncourage extra fluids to correct the weight change

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABreathing effort and ability to cough
2. BAbility to feed themselves
3. CBowel sounds in all four abdominal quadrants
4. DSkin over the sacrum and heels

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ADocument the finding and continue with the medication round
2. BLoosen the restraint and assess the circulation
3. CTighten the restraint so the patient moves less
4. DRaise the arm on a pillow and check again in two hours