Приоритизация и делегирование: лист заданий с ответами

What does a raised troponin level usually show?

1. ALow blood sugar
2. BDamage to the liver
3. CDamage to heart muscle
4. DA urinary tract infection

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CShort pauses in breathing during normal sleep
4. DDeep, rapid breathing seen in metabolic acidosis such as DKA

Какая находка относится к проблеме дыхательных путей?

1. AСлабый нитевидный пульс на лучевой артерии
2. BБоль в животе 8/10
3. CМелкие хрипы в основании обоих лёгких на вдохе
4. DОтёк языка и губ с охриплым голосом

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with chickenpox and a patient on chemotherapy
3. CA patient with influenza and a patient with COPD
4. DA patient with MRSA in a wound and a patient after surgery

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AEncourage the patient to rest quietly
2. BApply an ice pack to the perineum
3. CMassage the fundus
4. DOffer a meal and fluids

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AStarting the transfusion once the blood arrives
2. BMeasuring and reporting vital signs at the times set by the nurse
3. CDeciding whether to stop the transfusion if the patient has chills
4. DAssessing the patient for signs of a transfusion reaction

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

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose before lunch and tell me the number straight away.”
2. B“Walk him to the bathroom and back, and stay with him the whole time.”
3. C“Check his glucose and give the insulin according to the sliding scale.”
4. D“Help him wash and change, and tell me at once if you see any red or broken skin.”