Приоритизация и делегирование: лист заданий с ответами

What is the main purpose of an incident report?

1. ATo replace the nurse’s notes in the patient’s record
2. BTo decide which staff member should be punished
3. CTo improve safety by finding out why events happen
4. DTo inform the patient’s insurance company

Which patient usually fits ESI level 5?

1. AA stable adult who only needs a repeat prescription
2. BA stable adult who needs blood tests and an X-ray of the chest
3. CAn adult with chest pain suggesting a heart attack
4. DAn adult in cardiac arrest

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 kidneys are working harder than usual
4. DThe liver is making too much bile

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AWait until tomorrow to see if the vomiting settles
2. BStop all insulin until the patient is able to eat normally again
3. CCheck the blood glucose and ketones and contact the provider
4. DEncourage a large meal to settle the stomach

Какой плановый препарат наиболее критичен по времени?

1. AЕжедневная таблетка статина, снижающего холестерин, с завтраком в 08:00
2. BЕжедневная таблетка мультивитаминов в 08:00
3. CБыстродействующий инсулин, который нужно ввести с принесённым подносом завтрака
4. DЕжедневное слабительное размягчающее средство с завтраком

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AEncourage the patient to walk to improve the circulation
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DMassage the patient’s calves to ease any muscle cramp

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. ANormal swallowing during sleep
2. BHunger after fasting for surgery
3. CBleeding from the operation site
4. DA sore throat from the breathing tube

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
2. BThe patient is discharged with a leaflet to read at home
3. CThe nursing assistant shows the patient again at lunch
4. DThe RN reassesses the patient’s learning needs and adjusts the teaching