Приоритизация и делегирование: лист заданий с ответами

Which triage method is designed for children in mass-casualty incidents?

1. AThe APGAR score
2. BThe Braden Scale
3. CThe Glasgow Coma Scale
4. DJumpSTART

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. AInfection
2. BBleeding
3. CFluid overload
4. DBlood clots

Which protective equipment is needed for airborne precautions?

1. AA plastic apron only
2. BA fit-tested N95 or FFP3 respirator
3. CGloves only
4. DA simple surgical mask worn loosely

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ACrohn disease, waiting to be taken down for a scheduled CT scan
2. BUlcerative colitis, asking about diet changes for home
3. CLong-standing back pain, asking for the usual analgesic
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BGive IV dextrose or glucagon as prescribed
3. CPour orange juice into the patient’s mouth
4. DWait 15 minutes and recheck the glucose

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. ATell the patient this is a common, harmless effect
2. BGive the next dose of lisinopril with water
3. CApply a cold pack and recheck in an hour
4. DAssess the airway and call for urgent help

A patient has a heart rate of 38/min, feels dizzy and has a blood pressure of 80/50 mmHg. Which drug is usually given first, as prescribed?

1. ADiltiazem
2. BMetoprolol
3. CAtropine
4. DDigoxin

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AGreen (minor)
2. BRed (immediate)
3. CYellow (delayed)
4. DBlack (expectant)