优先排序与委派练习卷(附答案)

免费可打印的优先排序与委派练习卷:8 道题,从简单到考试水平,附答案。可打印或另存为 PDF。

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姓名: ____________________   日期: ____________

1.简单

In the Emergency Severity Index (ESI), which patient fits level 2?

  1. AA stable patient who needs no resources
  2. BA patient who needs an immediate life-saving intervention to survive
  3. CA high-risk situation, new confusion, or severe pain or distress
  4. DA stable patient who needs one resource
2.简单

Which patient needs a single room with airborne precautions?

  1. AA patient with type 2 diabetes
  2. BA patient with a urinary tract infection and a catheter
  3. CA patient with a fractured femur
  4. DA patient with suspected pulmonary tuberculosis
3.简单

Which blood pressure in an adult suggests hypotension?

  1. A110/70 mmHg
  2. B82/48 mmHg
  3. C118/76 mmHg
  4. D126/82 mmHg
4.中等

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

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

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

  1. AMassage the fundus
  2. BApply an ice pack to the perineum
  3. CEncourage the patient to rest quietly
  4. DOffer a meal and fluids
6.中等

Which patient with diabetes should the nurse see first?

  1. AHbA1c result of 8.2%, asking about diet
  2. BGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
  3. CGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
  4. DNeeds foot care teaching before discharge tomorrow
7.困难

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

  1. AGiving an antipyretic tablet and waiting for it to work
  2. BAsking the runner to rest in the shade and drink slowly
  3. CWrapping the runner in a blanket to prevent shivering
  4. DRapid cooling while supporting airway and circulation
8.困难

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

  1. ADo it just this once and promise the provider not to do it again
  2. BDecline, explain why and suggest who can safely do it
  3. CDo it, because the provider gave the instruction
  4. DAsk a nursing assistant to do it instead

答案

  1. 1. C · A high-risk situation, new confusion, or severe pain or distress
  2. 2. D · A patient with suspected pulmonary tuberculosis
  3. 3. B · 82/48 mmHg
  4. 4. A · Protect the head and turn the patient on their side when possible
  5. 5. A · Massage the fundus
  6. 6. B · Glucose 48 mg/dL (2.7 mmol/L), sweating and confused
  7. 7. D · Rapid cooling while supporting airway and circulation
  8. 8. B · Decline, explain why and suggest who can safely do it

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