Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B9%
3. C1%
4. D18%

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AExpected after drinking fluids
2. BHigh, suggesting fluid overload
3. CNormal for an adult at rest
4. DLow and needing to be reported

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A4,0–5,0
2. B2,0–3,0
3. C6,0–7,0
4. D0,5–1,0

A nurse takes a telephone order from a provider. What must the nurse do?

1. AWrite the order down and read it back to the provider to confirm it
2. BCarry out the order first and ask the provider to confirm it later
3. CRemember the order and write it in the chart at the end of the shift
4. DAsk the ward clerk to take the order on the nurse’s behalf instead

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ALeave the wound uncovered so the surgeon can see it on arrival
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CCover the wound with sterile dressings moistened with saline
4. DPush the bowel gently back into the abdomen with a gloved hand

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the fingertips, pressing firmly to test it
2. BWith the palms of the hands, not the fingertips
3. CBy covering it tightly with a plastic sheet
4. DBy resting it directly on a hard surface

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. AGive the transfusion while the patient is asleep, because saving their life comes first
2. BRespect the refusal, check the patient understands the risks and inform the provider
3. CTell the patient that refusing treatment is not allowed in hospital
4. DAsk the family to persuade the patient until they agree

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABowel sounds in all four abdominal quadrants
2. BSkin over the sacrum and heels
3. CAbility to feed themselves
4. DBreathing effort and ability to cough