优先排序与委派练习卷（附答案）

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BDeciding whether a pressure injury has got worse since yesterday
3. CTurning and repositioning the patient every 2 hours
4. DPlanning the patient’s skin care

哪项患者需要属于马斯洛层次理论中的安全层次？

1. A友谊
2. B他人的认可
3. C氧气
4. D防止跌倒

Which serum sodium value is within the normal adult range?

1. A140 mEq/L (140 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C120 mEq/L (120 mmol/L)
4. D128 mEq/L (128 mmol/L)

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AGive the dose with food to reduce the stomach upset
2. BReassure the patient that a coarse tremor is expected at first
3. CEncourage the patient to cut down on salt and fluids
4. DHold the next dose and report for an urgent lithium level

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AWeigh and measure the baby on the scale
2. BGive the vitamin K injection before anything else is done
3. CGive the first bath to remove the blood and vernix
4. DDry and warm the baby while checking that it is breathing

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AHold the dose and report so the white cell count can be checked
2. BAdvise the patient to gargle with warm salt water and rest in bed
3. CIncrease the dose because the symptoms suggest a relapse
4. DOffer throat lozenges and continue the usual dose

On an addiction unit, which patient should the nurse assess first?

1. AYawning, with a runny nose and dilated pupils
2. BAnxious, with goose bumps, stomach cramps and loose stools
3. CAsking for an extra blanket and a hot drink
4. DDrowsy with pinpoint pupils and a respiratory rate of 7/min

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AAsk the patient to bend the leg at the hip to stop the bleeding
2. BApply firm, direct pressure just above the puncture site
3. CRemove the dressing and leave the site open to the air
4. DRaise the head of the bed so the patient can sit up