优先排序与委派练习卷（附答案）

Which arterial blood pH is within the normal range?

1. A7.52
2. B7.18
3. C7.40
4. D7.28

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA 12-lead ECG
3. CA lipid profile
4. DA chest CT scan

Which capillary refill time is prolonged in an adult?

1. A1 second
2. B4 seconds
3. CLess than 1 second
4. D2 seconds

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BKeep everyone safe and tell the team, as the risk of harm is high
3. CIgnore the comment, because voices are part of his illness
4. DAsk the roommate to stay in the room with him and help calm him down

在 START 分诊中，一名不能行走的成人每分钟呼吸 22 次，有桡动脉搏动，能遵从简单指令，但有明显的腿部骨折。该伤员被归入哪一类？

1. A绿色（轻伤）
2. B黄色（延迟）
3. C红色（立即）
4. D黑色（期待观察）

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AWait for the provider to arrive before doing anything else
2. BPlace the end of the tube in a bottle of sterile water
3. CRemove the tube and cover the site
4. DClamp the tube for the rest of the shift

在患者首次使用吗啡 15 分钟后，一名护理助理测量了生命体征。他们报告呼吸频率为 10 次/分，并说患者很难叫醒。护士应怎么做？

1. A让助理 15 分钟后复测呼吸频率并回报
2. B记录这些发现，在下一次定时查房时告诉医疗人员
3. C立即前往，唤醒患者，支持呼吸，并按医嘱准备纳洛酮
4. D在去看患者之前先打电话给医疗人员要医嘱

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. AEncourage the child to keep crying to open the lungs
2. BLay the child flat on their back
3. CPlace the child in a knee-to-chest position
4. DGive a large drink of water to calm the child