优先排序与委派练习卷（附答案）

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AFear of slipping in the shower
2. BThirst after a long period of fasting before a test
3. CMissing friends from home
4. DWorry about body image after a mastectomy

当优先次序题问“首先”做什么时，它问的是什么？

1. A唯一正确的选项；其他都是错的
2. B先于其他步骤的那一步，即使所有选项都是正确的
3. C护士在典型班次中最常做的行动
4. D完成起来最费时间的行动

下列哪项是委派的五项正确原则之一？

1. A正确的注射途径和部位
2. B正确的剂量和浓度
3. C正确的监督与评价
4. D正确的时间和频率

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA new bowel infection that has caused the diarrhea
3. CA side effect of drinking too much water
4. DFecal impaction with liquid stool passing around it

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BGive a sedative from the as-needed list without first assessing the patient
3. CRaise all four bed rails so the patient cannot climb out
4. DApply wrist restraints for the rest of the night

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AReport them to human resources at once
2. BChange both of their assignments without any discussion
3. CMeet both of them privately to hear each side
4. DIgnore it and hope they sort it out

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
2. BThe burns are healing and the skin is tightening normally
3. CThe patient is anxious and only needs reassurance
4. DThe tight burned skin is restricting chest movement, so an escharotomy may be needed

一名新做气管切开的患者咳嗽、呼吸嘈杂，SpO₂ 已降至 86%。首要行动是什么？

1. A对气管切开管吸痰
2. B更换气管切开固定带
3. C给予雾化支气管扩张剂
4. D记录 SpO₂，30 分钟后重新检查