Приоритизация и делегирование: лист заданий с ответами

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BResponds only to pain
3. CPupils equal and reactive
4. DPulse present and regular

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BMissing friends from home
3. CFear of slipping in the shower
4. DWorry about body image after a mastectomy

Какая деятельность в целом входит в компетенцию практической (лицензированной) медсестры (LPN/LVN) для стабильного пациента?

1. AПроведение первичной оценки при поступлении
2. BСортировка (триаж) вновь прибывших в отделении неотложной помощи
3. CСоставление плана сестринского ухода
4. DВыдача плановых пероральных лекарств

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BSkip the drug and not tell anyone until the next ward round
3. CGive the usual dose of the drug the nurse thinks was meant
4. DContact the prescriber to clarify the order before giving the drug

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ARinse the hub with tap water and dry it
2. BBlow on the hub to remove any dust before connecting the syringe or line
3. CTouch the hub to check it is clean
4. DScrub the hub with an antiseptic such as chlorhexidine and let it dry

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child with a temperature of 38,2 °C after vaccination
3. CA child in a new arm cast with pink, warm fingers and pain of 5/10
4. DA child with croup who has a barking cough but no stridor at rest

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AAsk the colleague to share the vial with them
2. BSay nothing, because it is not their business
3. CTell the patients to watch the colleague carefully
4. DReport it to the nurse manager according to policy

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APush firmly on the top of the uterus (fundal pressure)
2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DAsk the mother to stop pushing and wait an hour