Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BBefore the baby is born
3. CAt 1 and 5 minutes after birth
4. DOnly at 24 hours after birth

Which body temperature is a fever in an adult?

1. A37,1 °C
2. B36,8 °C
3. C38,5 °C
4. D36,4 °C

Hangi bulgu bir hava yolu sorunudur?

1. ABoğuk sesle birlikte dilde ve dudaklarda şişlik
2. BHer iki akciğerin tabanlarında inspiryumda duyulan ince raller
3. C10 üzerinden 8 olarak derecelendirilen karın ağrısı
4. DZayıf, ipliksi radiyal nabız

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AApply wrist restraints for the rest of the night
2. BRaise all four bed rails so the patient cannot climb out
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DGive a sedative from the as-needed list without first assessing the patient

Which patient with diabetes should the nurse see first?

1. AHbA1c result of 8,2%, asking about diet
2. BGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
3. CNeeds foot care teaching before discharge tomorrow
4. DGlucose 48 mg/dL (2,7 mmol/L), sweating and confused

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AHair growth and skin color
2. BRising blood glucose levels
3. CWeight loss from too much appetite
4. DThoughts of suicide or self-harm

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BHead down with the legs raised above the heart
3. CHead of the bed at about 30 degrees with the neck straight
4. DSitting forward with the chin on the chest

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