优先排序与委派练习卷（附答案）

根据马斯洛的需要层次理论，护士通常首先处理哪项患者问题？

1. A社交孤立
2. B夜间有跌倒风险
3. C自尊低下
4. D气体交换受损

Which triage method is designed for children in mass-casualty incidents?

1. AJumpSTART
2. BThe APGAR score
3. CThe Braden Scale
4. DThe Glasgow Coma Scale

在委派中，“正确的监督与评价”是什么意思？

1. A护士盯着每一项委派任务的每一秒
2. B被委派者事后自己检查并签字确认自己的工作
3. C值班护士长在班次结束时为所有委派任务签字
4. D护士跟进、必要时介入并检查结果

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AWait 15 minutes and recheck the glucose
2. BGive IV dextrose or glucagon as prescribed
3. CGive the scheduled dose of insulin
4. DPour orange juice into the patient’s mouth

护士可以放心最后去看哪位患者？

1. A一名 COPD 患者，吸氧 1 L/min，SpO₂ 90%（目标 88–92%），能说完整的句子
2. B一名突发剧烈头痛的患者
3. C一名术后两小时的患者，心率从 88 次/分升至 118 次/分
4. D一名出现新的湿啰音和粉红色泡沫痰的患者

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AHelp the patient carry shopping bags on the left arm
2. BDo not measure blood pressure on the left arm
3. CKeep the left arm wrapped tightly in a bandage at night
4. DMeasure blood pressure on the left arm only, every 4 hours

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ARemove the nurse from patient care and report it according to policy
2. BWait until the end of the shift and then discuss the concern with the nurse privately
3. CAsk the nurse to drink coffee and then start work
4. DLet the nurse work, but only with stable patients

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

1. AIgnore the result, since potassium is always high in this condition and will correct itself
2. BGive the insulin as a fast bolus to bring the potassium up
3. CStart the insulin at once, because the glucose is the bigger problem
4. DReport the result before starting, because insulin will push potassium even lower