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. BWorry about body image after a mastectomy
3. CThirst after a long period of fasting before a test
4. DMissing friends from home

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient only has a mild headache
3. CThe patient is fully alert and oriented
4. DThe patient may not be able to protect the airway

What does “scope of practice” mean?

1. AThe salary range that applies to each nursing role
2. BThe highest number of patients a nurse may care for during a single shift
3. CThe activities a nurse is educated, competent and legally allowed to do
4. DThe hospital areas where a nurse is allowed to work

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ARising systolic pressure, slow pulse and irregular breathing
2. BLow temperature, fast breathing and a strong appetite
3. CNormal blood pressure, normal pulse and clear speech
4. DFalling blood pressure, a fast pulse and warm, flushed dry skin

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ACheck the tubing for kinks or obstruction
2. BEncourage the patient to drink more water
3. CGive a prescribed diuretic straight away
4. DRemove the catheter and wait for the patient to void

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BGive IV sodium bicarbonate as soon as it can be found
3. CGive oxygen at the highest flow and leave the room
4. DStay with the patient and coach slow, calm breathing

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. ADocument it, because pupils often differ slightly after a head injury
2. BReport it at once, as it may mean the brain is being compressed
3. CRecheck it at the next routine observation in four hours
4. DDim the room lights so the pupil can get smaller

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe confused patient climbing out of bed
2. BThe patient whose call light went on first
3. CWhichever patient’s room is closer to the station
4. DThe patient in pain after surgery