Робочий аркуш «Пріоритезація та делегування» з відповідями

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A1%
2. B9%
3. C18%
4. D36%

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A2,0–3,0
2. B4,0–5,0
3. C0,5–1,0
4. D6,0–7,0

Which medication reverses opioid-induced respiratory depression?

1. AFlumazenil
2. BVitamin K
3. CNaloxone
4. DProtamine sulfate

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CItching under the cast during the first week after it was applied
4. DMild bruising around the fracture site on the second day

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AAsk the patient to lie still for another hour
2. BGive a dose of oxytocin straight away
3. CHelp the patient empty her bladder
4. DMassage the uterus firmly for ten minutes

Which patient on an addiction unit should the nurse see first?

1. AIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
2. BLast drink this morning; asking when lunch will arrive
3. CLast drink one week ago; asking about support groups
4. DLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. ASqueeze the wound hard and suck it
2. BScrub the area with bleach
3. CFinish the shift and report it tomorrow
4. DWash the area with soap and water

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

1. AThat the child’s temperature is normal
2. BThat the child is passing urine
3. CThat the child can walk without help
4. DThat the child is hungry