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

Who is responsible for developing the nursing plan of care?

1. AThe nursing assistant
2. BThe LPN/LVN alone
3. CThe ward clerk
4. DThe registered nurse

在三级分诊系统中，哪位患者属于危急？

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

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AReassure the patient that a coarse tremor is expected at first
2. BHold the next dose and report for an urgent lithium level
3. CEncourage the patient to cut down on salt and fluids
4. DGive the dose with food to reduce the stomach upset

对于采取防跌倒措施的患者，护士应将哪项任务委派给护理助理？

1. A教家属如何在家中预防跌倒
2. B决定是否仍需要床边警报器
3. C按计划每 2 小时协助患者上厕所
4. D每天早晨评估并记录患者的跌倒风险评分

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AAdvise the patient to gargle with warm salt water and rest in bed
2. BHold the dose and report so the white cell count can be checked
3. COffer throat lozenges and continue the usual dose
4. DIncrease the dose because the symptoms suggest a relapse

在急诊科，哪位患者应直接进入治疗室？

1. A一名 60 岁患者，胸部压迫感、出汗和恶心已 20 分钟
2. B一名 30 岁患者，咽痛两天，体温 38.0 °C
3. C一名 45 岁患者，要求续开处方
4. D一名 25 岁患者，手腕扭伤，生命体征正常

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum phosphate
2. BSerum cholesterol
3. CSerum amylase
4. DThyroid hormone