优先排序与委派练习卷（附答案）

在三级分诊系统中，哪位患者属于危急？

1. A腹痛两天，生命体征正常
2. B要求续开处方
3. C皮疹三天，无发热
4. D胸痛伴出汗和气短

What are Kussmaul respirations?

1. ADeep, rapid breathing seen in metabolic acidosis such as DKA
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CSlow, shallow breathing after an opioid overdose
4. DShort pauses in breathing during normal sleep

Which blood pressure in an adult suggests hypotension?

1. A118/76 mmHg
2. B82/48 mmHg
3. C126/82 mmHg
4. D110/70 mmHg

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ATalking while eating to stay alert
2. BDrinking thin fluids quickly through a straw between bites
3. CSitting upright with the chin tucked down while swallowing
4. DLying flat with the head tilted back

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. AWait for the next contraction before acting
2. BRelieve pressure on the cord by lifting the presenting part with a gloved hand
3. CAsk the patient to walk around the room to bring the baby lower and speed up labor
4. DPush the cord back into the uterus

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BPour orange juice into the patient’s mouth
3. CGive the scheduled dose of insulin
4. DWait 15 minutes and recheck the glucose

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AAn epidural hematoma
2. BNormal tiredness after a fall
3. CA mild concussion that is settling
4. DLow blood sugar from missing a meal

在肾内科病房，护士应首先看哪位患者？

1. A一名腹膜透析患者，引流液清亮
2. B一名动静脉内瘘震颤有力、血管杂音明显的患者
3. C一名血液透析患者，错过了昨天的透析，现在肌无力并脉搏不规则
4. D一名询问低磷饮食建议的患者