优先排序与委派练习卷（附答案）

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA platelet count of 900,000/mm³
2. BA raised serum creatinine
3. CA low serum creatinine
4. DA serum sodium of 160 mEq/L

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA lipid profile
3. CA 12-lead ECG
4. DA chest CT scan

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A3.5–5.0 mEq/L
2. B22–26 mEq/L
3. C35–45 mEq/L
4. D80–100 mEq/L

一名注册护士对护理助理说：“去看看 12 号房的患者。”缺少了委派的哪项正确原则？

1. A适合该任务的正确人员
2. B适合该环境的正确任务
3. C正确的指示与沟通
4. D正确的情境

值班护士长需要腾出一张床位。哪位患者最适合出院或转到较低级别的护理？

1. A肠道手术后第 1 天，新出现体温 38.5 °C
2. B肺炎，氧需求在一夜之间从 2 L/min 升至 4 L/min
3. C无并发症阑尾切除术后第 3 天，能进食，使用口服镇痛药
4. D两小时前因胸痛入院；肌钙蛋白结果尚未回报

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BGive a warm drink and recheck the blood pressure in an hour
3. CLay the patient flat with the legs raised
4. DApply extra blankets to keep the patient warm and calm

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AGiving a scheduled subcutaneous anticoagulant injection to a stable patient
2. BWriting the discharge teaching plan for a patient with new diabetes
3. CAssessing a patient who returned from surgery 30 minutes ago
4. DMeasuring the vital signs and weights of every patient on the unit before breakfast

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AA vaginal examination
2. BMonitoring the fetal heart rate
3. CWeighing the pads to estimate blood loss
4. DMeasuring the blood pressure and pulse