优先排序与委派练习卷（附答案）

What are Kussmaul respirations?

1. ADeep, rapid breathing seen in metabolic acidosis such as DKA
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CShort pauses in breathing during normal sleep
4. DSlow, shallow breathing after an opioid overdose

Which adult blood glucose result needs treatment straight away?

1. A52 mg/dL (2.9 mmol/L) with sweating and shakiness
2. B130 mg/dL (7.2 mmol/L) two hours after a large lunch
3. C110 mg/dL (6.1 mmol/L) after a snack
4. D98 mg/dL (5.4 mmol/L) before breakfast

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BStraight after hearing bad news about a serious new diagnosis
3. CDuring a period of acute breathlessness
4. DWhile in severe pain, so the lesson feels important

护士发现一名患者躺在床边的地板上。首要行动是什么？

1. A打电话给患者家属解释发生了什么
2. B在同事的帮助下立即把患者扶回床上
3. C趁细节清晰时填写事件报告
4. D在移动患者之前，评估其反应性和损伤情况

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ACover the wound with sterile dressings moistened with saline
2. BLeave the wound uncovered so the surgeon can see it on arrival
3. CPush the bowel gently back into the abdomen with a gloved hand
4. DHelp the patient walk to the toilet to relieve abdominal pressure

一名护士同时收到四个呼叫灯。护士首先去哪位患者那里？

1. A一名输液泵因维持液体袋已输完而报警的患者
2. B一名说“我喘不上气”的患者
3. C一名询问医生什么时候来的患者
4. D一名因 4/10 的疼痛要求止痛药的患者

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. ARaise her legs while she stays on her back
2. BSit her upright with her head between her knees
3. CGive her a sugary drink and keep her flat
4. DTurn her onto her left side

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will keep my daily salt intake about the same as usual.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will drink enough fluid every day.”
4. D“I will go for my blood tests as planned.”