Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is the normal baseline fetal heart rate?

1. A160–220/min
2. B60–100/min
3. C110–160/min
4. D40–60/min

Gdy w pytaniu o priorytety pojawia się zarówno ocena, jak i działanie, co zwykle jest prawidłowe jako pierwsze, jeśli sytuacja nie jest stanem nagłym?

1. AUdokumentowanie obaw w dokumentacji
2. BOcena pacjenta w celu zebrania dodatkowych informacji
3. CPoproszenie asystenta pielęgniarskiego, aby poszedł sprawdzić pacjenta
4. DWezwanie lekarza przed zobaczeniem pacjenta

In the AVPU scale, what does the P mean?

1. APupils equal and reactive
2. BPulse present and regular
3. CResponds only to pain
4. DPain score below 5

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive IV sodium bicarbonate as soon as it can be found
4. DGive oxygen at the highest flow and leave the room

Which patient on an addiction unit should the nurse see first?

1. AIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
2. BLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
3. CLast drink this morning; asking when lunch will arrive
4. DLast drink one week ago; asking about support groups

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“If the pain has not eased as my action plan says, I will call emergency services.”
2. B“I will sit or lie down when I take a tablet.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“I will carry the tablets with me when I go out.”

During a power cut, which patient is the nurse’s first priority?

1. AA patient who depends on a ventilator
2. BA patient whose call light is not working
3. CA patient whose bed will not raise electrically
4. DA patient watching television when it switched off

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AGive an oral analgesic and reassess the patient in about one hour
2. BCall for emergency help at once and prepare for urgent surgery
3. CPalpate the mass firmly to check its size and spread
4. DEncourage the patient to walk to ease the back pain