优先排序与委派练习卷（附答案）

根据马斯洛的需要层次理论，护士通常首先处理哪项患者问题？

1. A自尊低下
2. B气体交换受损
3. C夜间有跌倒风险
4. D社交孤立

在三级分诊系统中，哪位患者属于危急？

1. A胸痛伴出汗和气短
2. B皮疹三天，无发热
3. C腹痛两天，生命体征正常
4. D要求续开处方

在三级分诊系统中，扭伤脚踝、生命体征正常、轻度疼痛的患者通常被归为：

1. A紧急
2. B非紧急
3. C期待观察
4. D危急

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. BWait 15 minutes and recheck the glucose
3. CGive the scheduled dose of insulin
4. DPour orange juice into the patient’s mouth

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

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

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BAsk the patient to walk around the ward until the food arrives
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DTell the patient to wait and do nothing until the tray comes

一名大手术后的患者连续两小时尿量为 15 mL/h，心率 115 次/分，双手发凉。护士应首先做什么？

1. A冲洗导尿管，明天早晨再检查尿量
2. B再等两小时，看尿量是否改善
3. C评估休克的征象，如出血，并上报
4. D鼓励患者多喝水，稍后再检查

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacenta previa, which is usually painless