Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which resting heart rate is normal for a newborn?

1. A210/min
2. B80/min
3. C60/min
4. D140/min

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B18,000/mm³ (18 × 10⁹/L)
3. C8,200/mm³ (8,2 × 10⁹/L)
4. D7,000/mm³ (7 × 10⁹/L)

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe tissues are not getting enough oxygen
2. BThe patient has eaten recently
3. CThe liver is making too much bile
4. DThe kidneys are working harder than usual

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AIncrease the dose because the symptoms suggest a relapse
2. BAdvise the patient to gargle with warm salt water and rest in bed
3. CHold the dose and report so the white cell count can be checked
4. DOffer throat lozenges and continue the usual dose

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

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

Which medication order should the nurse question?

1. AOral potassium chloride with food
2. BPotassium chloride oral solution diluted in juice
3. CPotassium chloride diluted in an IV bag via a pump
4. DPotassium chloride by IV push

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AWriting the discharge teaching plan for a patient with new diabetes
2. BGiving a scheduled subcutaneous anticoagulant injection to a stable patient
3. CAssessing a patient who returned from surgery 30 minutes ago
4. DMeasuring the vital signs and weights of every patient on the unit before breakfast

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. ALet the patient sleep, because the saturation is above target
2. BIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
3. CAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
4. DGive the as-needed sedative so the patient rests comfortably