优先排序与委派练习卷（附答案）

在大多数机构中，谁负责急诊科新到患者的分诊？

1. A病区文员
2. B没有 RN 参与的 LPN/LVN
3. C注册护士
4. D护理助理

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A45 mg/dL
2. B2 mg/dL
3. C15 mg/dL
4. D70 mg/dL

What is the range of possible scores on the Glasgow Coma Scale?

1. A1 to 20
2. B0 to 10
3. C3 to 15
4. D0 to 15

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ALay the patient flat for an hour after each bag is hung
2. BTurn the feed off only while the patient is asleep at night
3. CIncrease the feed rate so the stomach empties sooner
4. DKeep the head of the bed raised to at least 30 degrees

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreased appetite and thirst
2. BA rise in blood pressure with flushed cheeks
3. CIncreasing sleepiness that is hard to rouse
4. DA sudden rise in pain scores

一名护士要求护理助理“评估患者的疼痛，并决定患者是否需要更多药物”。违反了委派的哪项正确原则？

1. A正确的人员
2. B正确的监督与评价
3. C正确的任务
4. D正确的情境

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

护士应首先将哪位患者上报给快速反应小组？

1. A一名已知高血压的患者，血压 152/94 mmHg，感觉良好
2. B一名尿路感染患者，新出现意识模糊，呼吸频率 26 次/分，收缩压 94 mmHg
3. C一名膝关节手术后的患者，疼痛 6/10，生命体征正常
4. D一名蜂窝织炎患者，体温 38.1 °C，其余生命体征正常