优先排序与委派练习卷（附答案）

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AWash with soap and water
2. BWipe hands on a clean towel
3. CUse alcohol hand rub only
4. DNo hand hygiene is needed if gloves were worn

In stroke care, what does the “last known well” time mean?

1. AThe time the first symptom was noticed by a stranger
2. BThe time the patient arrived at the hospital and was triaged
3. CThe time of the patient’s last meal
4. DThe last time the patient was seen without stroke symptoms

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. ARaising the legs above the heart
2. BJaw thrust without head tilt
3. CTurning the head sharply to one side
4. DHead-tilt, chin-lift

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 1 after bowel surgery, new chest pain and heart rate 110/min
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 3 after bowel surgery, wants a shower and hair wash before breakfast
4. DDay 4 after bowel surgery, waiting for discharge teaching

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BMuscle weakness and U waves on the ECG
3. CTall, peaked T waves and muscle twitching
4. DFlushed, warm skin and a slow heart rate

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will swallow the tablet with a glass of water.”
2. B“I may get a headache after taking a tablet.”
3. C“I will sit down before I take a tablet.”
4. D“I will keep the tablets in their original dark container.”

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AA blind finger sweep of the mouth
2. BHolding the infant upside down by the feet
3. CBack blows and chest thrusts
4. DAbdominal thrusts, as in adults

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
2. BThe nursing assistant shows the patient again at lunch
3. CThe RN reassesses the patient’s learning needs and adjusts the teaching
4. DThe patient is discharged with a leaflet to read at home