优先排序与委派练习卷（附答案）

In delegation, what does supervision mean?

1. AGuidance, follow-up and evaluation of the delegated task by the nurse
2. BSigning the delegate’s documentation without checking it
3. CLeaving the delegate to finish without any contact
4. DDoing every delegated task yourself to make sure that it is done right

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHair loss and weight gain
3. CHigh blood sugar and increased thirst
4. DNausea, poor appetite and yellow-green visual halos

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe federal tax code
2. BThe state Nurse Practice Act
3. CThe Food and Drug Administration rules
4. DThe hospital’s visitor policy

哪项陈述表明对委派中的问责有正确理解？

1. A“我对决定委派以及跟进结果负有问责。”
2. B“如果任务出了问题，只有助理负责。”
3. C“护理助理要对该任务是否适合委派负责。”
4. D“一旦我委派了任务，就与我无关了。”

对于髋关节置换术后两天的患者，哪项任务适合护理助理？

1. A按髋关节注意事项协助患者坐到椅子上
2. B检查切口有无发红、发热和渗出
3. C评估上一剂止痛药是否控制了疼痛
4. D出院前教患者髋关节注意事项

值班护士长需要腾出一张床位。哪位患者最适合出院或转到较低级别的护理？

1. A两小时前因胸痛入院；肌钙蛋白结果尚未回报
2. B肠道手术后第 1 天，新出现体温 38.5 °C
3. C无并发症阑尾切除术后第 3 天，能进食，使用口服镇痛药
4. D肺炎，氧需求在一夜之间从 2 L/min 升至 4 L/min

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AThyroid storm
2. BA normal reaction to pain
3. CMyxedema coma
4. DOpioid withdrawal

Four laboratory results come back at once. Which one should the nurse report first?

1. AHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
2. BGlucose 180 mg/dL after a meal in a patient with diabetes
3. CCreatinine 1.3 mg/dL in an older adult, unchanged from last week
4. DPotassium 3.4 mEq/L in a patient on a diuretic