Cevaplı Hemşirelik esasları çalışma kâğıdı

How should a mistake in a handwritten nursing record be corrected?

1. AScribble over it until it cannot be read
2. BCover it with correction fluid and write the right entry over it
3. CTear out the page and rewrite the whole entry
4. DDraw a single line through it, then sign and date the correction

Where is the apical pulse best heard in an adult?

1. AOver the lower end of the sternum in the midline
2. BAt the left side of the neck beside the windpipe
3. CAt the second intercostal space just right of the sternum
4. DAt the fifth intercostal space in the left midclavicular line

What is the legal term for failing to give the standard of care a reasonable nurse would give, causing harm?

1. ABattery
2. BDefamation
3. CAssault
4. DNegligence

Which of these is recorded as fluid intake on a fluid balance chart?

1. AVomit
2. BUrine output from a catheter
3. CIntravenous fluids
4. DWound drainage

An older patient is found to be mildly hypothermic. Which care is most appropriate?

1. APutting the patient in a very hot bath straight away
2. BGiving an alcoholic drink to warm them up
3. CGradual rewarming with blankets and warm surroundings
4. DPlacing hot water bottles directly on the skin

A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?

1. AThat they promise to keep it secret, so the patient keeps trusting them
2. BThat they cannot promise secrecy if someone is at risk of harm
3. CThat they will tell everyone on the ward so the patient is safe
4. DThat they cannot listen to this and the patient should tell a doctor

Hedef satürasyonu %88–92 olan KOAH'lı bir hasta oksijen alıyor. SpO₂ şimdi %97. Hemşire ne yapmalıdır?

1. AKOAH'lı bir hastada daha yüksek satürasyon her zaman daha iyi olduğu için olduğu gibi bırakmalıdır
2. BDüzeyi yüksek tutmak için oksijeni artırmalıdır
3. CSatürasyonu hedef aralığa geri getirmek için oksijeni azaltmalıdır
4. DTüm oksijeni kesip izlemeyi bırakmalıdır

24 saatte bir hasta 2400 mL alıyor ve ölçülen toplam çıkışı 1800 mL. Sıvı dengesi nedir?

1. APozitif 4200 mL
2. BNegatif 600 mL
3. CHer iki değer de yüksek olduğu için dengeli
4. DPozitif 600 mL