Робочий аркуш «Основи сестринської справи» з відповідями

What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?

1. ACPR will not be attempted, but all other care continues
2. BThe patient must be moved to a hospice
3. CThe patient can no longer be given oxygen, fluids or antibiotics
4. DThe patient will receive no treatment at all

Which of these counts as a form of restraint?

1. AA call bell placed within reach of the patient's hand
2. BNon-slip socks on the patient's feet
3. CA walking frame next to the bed
4. DBed rails raised to stop the patient getting out

Which pulse do trained healthcare staff usually check in an unresponsive adult?

1. AThe carotid pulse in the neck
2. BThe radial pulse at the wrist
3. CThe temporal pulse at the side of the head
4. DThe pedal pulse on the foot

During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?

1. AWhen the cuff is fully deflated
2. BWhen the sounds disappear completely
3. CWhen the sounds become loudest
4. DWhen the first clear tapping sound is heard

Why is early mobilisation important for older inpatients?

1. AOlder patients do not need sleep during the day
2. BIt lets staff change the beds more easily while patients are up
3. CWalking makes older patients' bones grow longer
4. DBed rest quickly causes loss of strength and independence

When are non-sterile gloves needed?

1. AWhen contact with blood, body fluids or broken skin is expected
2. BOnly when the patient is known to have an infection
3. COnly when handling medicines
4. DFor every patient contact, including taking a pulse or blood pressure

A patient with diabetes has had foot-care teaching. Which statement shows a need for further teaching?

1. A"I'll wear shoes that fit well and never walk barefoot."
2. B"I'll check my feet every day, using a mirror if needed."
3. C"I'll dry carefully between my toes after washing."
4. D"I'll soak my feet in hot water every evening."

A patient reports pain of 8/10 but is chatting calmly and has normal vital signs. What should the nurse do?

1. AWithhold analgesia until the vital signs change
2. BAccept the report, assess further and offer analgesia
3. CRecord a lower score because the patient looks comfortable and calm
4. DTell the patient they cannot be in that much pain