优先排序与委派练习卷（附答案）

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe patient has eaten recently
2. BThe kidneys are working harder than usual
3. CThe tissues are not getting enough oxygen
4. DThe liver is making too much bile

How many rights of delegation are commonly taught?

1. AThree
2. BFive
3. CSeven
4. DTen

哪条一般的优先规则是正确的？

1. A局部问题通常先于全身性问题
2. B心理问题始终先于躯体问题
3. C全身性问题通常先于局部问题
4. D容易解决的问题总是先处理

护士应首先看哪位患者？

1. A一名新出现言语含糊、面部下垂的患者，30 分钟前开始
2. B一名慢性肾脏病患者，明天要透析
3. C一名 2 型糖尿病患者，询问饮食问题
4. D一名长期患类风湿关节炎、有平常晨僵的患者

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AHold the arms and legs down firmly to stop the jerking movements quickly
2. BProtect the head and turn the patient on their side when possible
3. CPlace a tongue depressor between the teeth
4. DGive a drink of water to help the patient wake

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. AIgnore it, because flushing is always harmless and passes
2. BStop or slow the infusion and inform the provider
3. CApply a warm compress to the face and neck
4. DSpeed up the infusion to finish it quickly

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. CDiabetic ketoacidosis
4. DHypoglycemia with rebound

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 4
2. BLevel 1
3. CLevel 2
4. DLevel 5