优先排序与委派练习卷（附答案）

Which term describes a patient who is unable to understand and decide about their own care?

1. AFully competent
2. BProviding valid informed consent
3. CLacking decision-making capacity
4. DExercising autonomy

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. AReading the result to the next shift at handover
2. BReading the result aloud to the patient straight away
3. CWaiting for the written report before doing anything
4. DRepeating the result back to the caller to confirm it

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BSerious but stable for now, and needs care soon
3. CAlready deceased on arrival
4. DLife-threatening and needs care immediately

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. ADeciding whether to stop the transfusion if the patient has chills
2. BStarting the transfusion once the blood arrives
3. CMeasuring and reporting vital signs at the times set by the nurse
4. DAssessing the patient for signs of a transfusion reaction

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AA side effect of drinking too much water
2. BThe constipation has fully resolved
3. CA new bowel infection that has caused the diarrhea
4. DFecal impaction with liquid stool passing around it

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. CDelirium, which needs the cause found quickly
4. DNormal aging that needs no action

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ATaking the victim straight to the X-ray department
2. BPlacing the victim in the waiting room until a doctor is free
3. CFull assessment inside the main department straight away
4. DDecontamination before the victim enters the treatment area

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. AA mild concussion that is settling
2. BLow blood sugar from missing a meal
3. CAn epidural hematoma
4. DNormal tiredness after a fall