Приоритизация и делегирование: лист заданий с ответами

Which arterial blood pH is within the normal range?

1. A7,28
2. B7,52
3. C7,40
4. D7,18

In which situation can a pulse oximeter give a falsely normal reading?

1. AA patient breathing room air normally
2. BA healthy adult at rest
3. CA warm, well-perfused finger
4. DCarbon monoxide poisoning

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe assistant who accepted the task
2. BNobody, once the task has been delegated
3. COnly the nurse manager
4. DThe patient receiving the care

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
2. BGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
3. CNeeds foot care teaching before discharge tomorrow
4. DHbA1c result of 8,2%, asking about diet

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at breakfast with my calcium tablet.”
2. B“I will keep taking it even when I feel well.”
3. C“I will take it on an empty stomach with a glass of water.”
4. D“I will take it at the same time each morning.”

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AChecking the tube’s position
2. BIrrigating the tube when it blocks
3. CAssessing the drainage for blood
4. DGiving mouth care

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. ANo further action is needed once the fracture is treated
2. BInfants of this age often roll off furniture and break bones in this way
3. CThe injury does not fit the infant’s development, so possible abuse must be reported
4. DA spiral fracture in an infant is always caused by birth trauma

При триаже START неходячий взрослый дышит 28 раз в минуту, лучевого пульса нет, капиллярное наполнение 4 секунды. В какую категорию он попадает?

1. AЧёрная (безнадёжные)
2. BКрасная (немедленная помощь)
3. CЗелёная (лёгкие)
4. DЖёлтая (отсроченная помощь), так как частота дыхания ниже 30/мин