Приоритизация и делегирование: лист заданий с ответами

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. ACodeine
2. BAspirin, chewed
3. CIbuprofen
4. DAcetaminophen (paracetamol)

Which finding is expected in a patient with long-standing COPD?

1. AA barrel-shaped chest
2. BNew confusion
3. CSudden sharp chest pain
4. DAn SpO₂ of 78%

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C35–45 mmHg
4. D22–26 mmHg

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. APlace a tongue depressor between the teeth
2. BProtect the head and turn the patient on their side when possible
3. CGive a drink of water to help the patient wake
4. DHold the arms and legs down firmly to stop the jerking movements quickly

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

1. AAssessing the drainage for blood
2. BIrrigating the tube when it blocks
3. CGiving mouth care
4. DChecking the tube’s position

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
2. BTurn away and ignore the behavior
3. CApply physical restraints at once
4. DStand very close to him and tell him firmly and loudly to sit down and be quiet

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. AAn infection, such as a urinary tract infection, presenting atypically
2. BNormal aging that needs no assessment
3. CBoredom from not having enough activities
4. DA sudden worsening of long-standing dementia that needs no tests

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe confused patient climbing out of bed
3. CThe patient whose call light went on first
4. DThe patient in pain after surgery