优先排序与委派练习卷（附答案）

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe pharmacy technician on duty that day
2. BThe patient’s next of kin
3. CThe hospital’s chief executive
4. DThe charge nurse or nursing supervisor

In delegation, what does the “right task” mean?

1. AThe task has been requested by the patient or the patient’s family
2. BThe task is one that may be delegated for this patient
3. CThe task is the one the nurse likes least
4. DThe task can be finished in under ten minutes

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of a newborn’s jaundice
3. CThe depth of a burn wound
4. DThe severity of alcohol withdrawal

Which newborn finding needs prompt reporting?

1. ABluish hands and feet in the first hours
2. BJaundice that appears within the first 24 hours
3. CMilia (small white spots) on the nose
4. DMild jaundice that first appears on the third day

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AA warm milky drink
2. BDiphenhydramine
3. CMelatonin
4. DAcetaminophen (paracetamol)

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Ask the patient’s family to do the suctioning today.”
2. B“Suctioning a new tracheostomy is my task; I will do it myself.”
3. C“Leave the suctioning until the next shift arrives.”
4. D“Thank you, please suction him as needed and tell me how it went.”

After handover on a medical unit, which patient should the nurse see first?

1. ADeep vein thrombosis on a heparin infusion, aPTT in the target range
2. BNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
3. CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
4. DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences

A patient has a potassium of 7.0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral sodium bicarbonate
2. BIV calcium gluconate
3. CIV furosemide
4. DOral potassium binder