优先排序与委派练习卷（附答案）

In the AVPU scale, what does the P mean?

1. AResponds only to pain
2. BPulse present and regular
3. CPain score below 5
4. DPupils equal and reactive

在大多数机构中，谁负责急诊科新到患者的分诊？

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

What should the nurse try before using physical restraints on a confused patient?

1. AAsking the family to bring restraints from home
2. BLess restrictive measures, such as more frequent checks or a bed alarm
3. CUsing restraints at once and removing them later if they turn out not to be needed
4. DRestraining all four limbs to be fully safe

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BBlow on the hub to remove any dust before connecting the syringe or line
3. CRinse the hub with tap water and dry it
4. DScrub the hub with an antiseptic such as chlorhexidine and let it dry

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BGive the scheduled dose of insulin
3. CPour orange juice into the patient’s mouth
4. DWait 15 minutes and recheck the glucose

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AMild anxiety about the high reading on the monitor
2. BA history of high blood pressure for ten years
3. CNew chest pain or confusion suggesting organ damage
4. DForgetting to take the blood pressure tablet this morning

一名护士认为开出的剂量不安全。开医嘱者说无论如何要给药。护士应怎么做？

1. A悄悄跳过该剂量，什么也不说以避免冲突
2. B折中给半剂量，并记录原因
3. C给药，因为现在开医嘱者要为此负责
4. D暂停给药，并通过指挥链上报

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. AAcute kidney injury with oliguria
2. BSIADH
3. CDiabetic ketoacidosis
4. DDiabetes insipidus