Основы сестринского дела: лист заданий с ответами

In the nursing process, which step comes straight after assessment?

1. AEvaluation, checking whether goals were met
2. BImplementation, carrying out the care
3. CNursing diagnosis, identifying the patient's problems
4. DDischarge planning, deciding when the patient goes home

What does "orthopnoea" mean?

1. AA breathing rate that is slower than normal
2. BBreathlessness that only starts after heavy exercise
3. CBreathing that stops for short periods during sleep
4. DBreathlessness when lying flat that eases on sitting up

What is the approximate normal white cell count in adults?

1. A4–11 × 10⁹/L
2. B20–30 × 10⁹/L
3. C150–400 × 10⁹/L
4. D0,5–1 × 10⁹/L

When cleaning a surgical incision, in which direction should the nurse clean?

1. AFrom the surrounding skin towards the incision with one swab
2. BBack and forth along the incision with the same swab
3. CFrom the incision outwards, using a new swab for each stroke
4. DIn circles from the outside in, reusing the swab

When washing a patient's eyes, how should each eye be wiped?

1. AFrom the outer corner inwards, using the same part of the cloth for both
2. BFrom the inner corner outwards, using a clean part of the cloth for each eye
3. CIn small circles over the closed eyelid of both eyes
4. DOnly the eye that looks dirty needs cleaning

Why should the same pain scale be used each time a patient's pain is assessed?

1. ABecause only one scale is valid for adults
2. BSo scores can be compared to see whether pain is improving
3. CBecause using different pain scales on one patient is against the law
4. DSo the patient learns the right answer to give

A colleague suggests giving a patient who "asks for pain relief too often" a saline injection to check whether the pain is real. What is correct?

1. AIt is acceptable, provided the patient is not told about it
2. BIt is acceptable if the doctor agrees
3. CIt is a good way to test whether the patient's pain is real
4. DIt is deceptive; the pain should be assessed and treated

A pressure ulcer shows full-thickness tissue loss with exposed bone. How is it classified?

1. ACategory 2
2. BCategory 4
3. CCategory 3
4. DSuspected deep tissue injury