优先排序与委派练习卷（附答案）

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow far the patient’s room is from the nurses’ station
2. BHow many visitors the patient is expected to have
3. CHow ill the patient is and how much nursing care they need
4. DHow long the patient has been in the hospital since admission

What is the usual adult reference range for serum potassium?

1. AAbout 135–145 mEq/L
2. BAbout 1.5–2.5 mEq/L
3. CAbout 3.5–5.0 mEq/L
4. DAbout 6.0–8.0 mEq/L

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

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

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

1. AChange both of their assignments without any discussion
2. BMeet both of them privately to hear each side
3. CIgnore it and hope they sort it out
4. DReport them to human resources at once

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BTell the patient this is a common, harmless effect
3. CGive the next dose of lisinopril with water
4. DAssess the airway and call for urgent help

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ALay the patient flat for an hour after each bag is hung
2. BTurn the feed off only while the patient is asleep at night
3. CIncrease the feed rate so the stomach empties sooner
4. DKeep the head of the bed raised to at least 30 degrees

护士应首先看哪名儿童？

1. A一名哮喘的青少年，呼气峰流速为个人最佳值的 90%
2. B一名腿上打石膏、要求喝水的学龄儿童
3. C一名体温 38.4 °C、正在玩玩具的幼儿
4. D一名 RSV 感染的婴儿，有鼻翼扇动、胸壁凹陷和 89% 的 SpO₂

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AIgnore it, because older people bruise easily
2. BEnsure the patient’s safety, document the findings and report as required
3. CTell the patient she must leave home and go to live somewhere else
4. DAsk the relative directly in front of the patient whether they hit her