优先排序与委派练习卷（附答案）

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow many visitors the patient is expected to have
2. BHow far the patient’s room is from the nurses’ station
3. CHow long the patient has been in the hospital since admission
4. DHow ill the patient is and how much nursing care they need

Which task can the RN usually assign to an LPN/LVN?

1. AWriting the patient’s initial plan of care
2. BTriaging a new arrival in the emergency department
3. CDoing the admission assessment of a new patient
4. DChanging the dressing on a stable, healing wound

Which protective equipment is needed for airborne precautions?

1. AGloves only
2. BA plastic apron only
3. CA simple surgical mask worn loosely
4. DA fit-tested N95 or FFP3 respirator

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AGive an antipyretic and continue the transfusion
2. BFinish the unit quickly through a pressure bag so that the reaction does not last long
3. CSlow the transfusion and recheck in an hour
4. DStop the transfusion and keep the IV open with normal saline via new tubing

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BMatching each patient’s needs to staff competence
3. CLetting staff choose the patients they prefer
4. DGiving the newest staff the most complex patients

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

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

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AIgnore it, because older people bruise easily
2. BTell the patient she must leave home and go to live somewhere else
3. CEnsure the patient’s safety, document the findings and report as required
4. DAsk the relative directly in front of the patient whether they hit her

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
3. CDefibrillate as soon as the defibrillator is available, with CPR until then
4. DCheck the blood potassium level before any shock is considered