优先排序与委派练习卷（附答案）

What is the CIWA scale used to assess?

1. AThe depth of a burn wound
2. BThe risk of a pressure injury
3. CThe severity of a newborn’s jaundice
4. DThe severity of alcohol withdrawal

Which patient usually fits ESI level 5?

1. AA stable adult who needs blood tests and an X-ray of the chest
2. BA stable adult who only needs a repeat prescription
3. CAn adult with chest pain suggesting a heart attack
4. DAn adult in cardiac arrest

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

1. AAbnormally fast and needing assessment
2. BNormal after a meal
3. CWithin the normal adult range
4. DSlow, and expected while the patient is asleep

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. AA personality change that is permanent and expected
2. BLong-standing dementia that is expected
3. CNormal aging that needs no action
4. DDelirium, which needs the cause found quickly

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

1. A“I will take it at the same time each morning.”
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 keep taking it even when I feel well.”

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. AReport it, because a different oxygen device is likely to be needed
2. BRemove the oxygen to see if the SpO₂ changes
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DTurn the nasal cannula up to 15 L/min

四名患者同时到达急诊科。应先看谁？

1. A一名 2 岁的儿童，流口水，身体前倾，有喘鸣
2. B一名手臂有伤口、出血已控制的青少年
3. C一名偏头痛、血压 150/90 mmHg 的成人
4. D一名脚踝畸形但足部脉搏正常的成人

护士应首先处理护理助理的哪项报告？

1. A今天上午腰椎融合术后，双腿没有感觉也不能活动
2. B一名肺炎患者咳出了黄色痰液
3. C一名糖尿病患者说他们的脚经常感到刺麻，一向如此
4. D一名卧床休息的患者要求使用便盆