优先排序与委派练习卷（附答案）

在委派中，“正确的指示与沟通”是什么意思？

1. A告诉被委派者运用他们自己的判断
2. B清晰、具体的指示：做什么、何时做，以及报告什么
3. C只把任务写在患者的病历中
4. D要求被委派者在班次结束时报告任何异常发现

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AAbnormally fast and needing assessment
2. BNormal after a meal
3. CSlow, and expected while the patient is asleep
4. DWithin the normal adult range

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BDeciding whether a pressure injury has got worse since yesterday
3. CPlanning the patient’s skin care
4. DTurning and repositioning the patient every 2 hours

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DEncourage the patient to walk to improve the circulation

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 2 after bowel surgery, asking to start a soft diet
2. BDay 1 after bowel surgery, new chest pain and heart rate 110/min
3. CDay 4 after bowel surgery, waiting for discharge teaching
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AOffer a meal and fluids
2. BEncourage the patient to rest quietly
3. CApply an ice pack to the perineum
4. DMassage the fundus

四名患者同时到达急诊科。应先看谁？

1. A一名 2 岁的儿童，流口水，身体前倾，有喘鸣
2. B一名脚踝畸形但足部脉搏正常的成人
3. C一名手臂有伤口、出血已控制的青少年
4. D一名偏头痛、血压 150/90 mmHg 的成人

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BHead down with the legs raised above the heart
3. CSitting forward with the chin on the chest
4. DHead of the bed at about 30 degrees with the neck straight