优先排序与委派练习卷（附答案）

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding the call light within reach
2. BNeeding pain relief after surgery
3. CWanting praise for progress in rehabilitation
4. DWanting family members to visit

Which finding in an infant is a sign of breathing difficulty?

1. ANasal flaring
2. BA strong cry
3. CPink, warm hands and feet
4. DWet diapers every few hours

Which capillary refill time is prolonged in an adult?

1. A2 seconds
2. BLess than 1 second
3. C1 second
4. D4 seconds

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s favorite television programs and hobbies
2. BPersonal opinions about the patient’s family members and their visiting habits
3. CDetails of the nurse’s own break times that shift
4. DThe patient’s current condition, recent changes and pending tasks

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

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ADrive him to the hospital yourself after he has eaten dinner
2. BCall emergency services now and note the time it started
3. CLet him lie down and see if it improves
4. DBook an appointment with his doctor next week

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ANormal bruising from blood tests
2. BVitamin C deficiency
3. CDisseminated intravascular coagulation (DIC)
4. DAn allergic reaction to the adhesive tape

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ARestlessness and a rising heart rate while the blood pressure is still normal
2. BLoss of consciousness with gasping breaths
3. CA very low blood pressure with fixed, dilated pupils
4. DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout