Робочий аркуш «Пріоритезація та делегування» з відповідями

Who is responsible for developing the nursing plan of care?

1. AThe registered nurse
2. BThe nursing assistant
3. CThe ward clerk
4. DThe LPN/LVN alone

In the AVPU scale, what does the P mean?

1. APulse present and regular
2. BPain score below 5
3. CPupils equal and reactive
4. DResponds only to pain

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo decide the patient’s diet
2. BTo calculate the correct drug doses for each patient
3. CTo spot deterioration early from routine vital signs
4. DTo measure the patient’s satisfaction with care

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ACheck the tubing for kinks or obstruction
2. BRemove the catheter and wait for the patient to void
3. CGive a prescribed diuretic straight away
4. DEncourage the patient to drink more water

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AOral potassium tablets
2. BSubcutaneous long-acting insulin only, given once
3. CIV isotonic fluid such as 0,9% sodium chloride
4. DA high-carbohydrate meal

Медсестра бачить, як помічник з догляду вимірює артеріальний тиск манжетою, яка явно замала. Що має зробити медсестра?

1. AПроігнорувати, бо одне високе значення не матиме значення
2. BЗгадати про це пізніше на щорічній оцінці помічника
3. CВтрутитися зараз, тактовно виправити техніку й повторно виміряти
4. DВідсторонити помічника від догляду за пацієнтами на день

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child black at once and move on to the next victim
2. BGive five rescue breaths; if breathing starts, tag the child red
3. CTag the child green and return to them after the others
4. DStart full CPR on the child and stay with them until more help arrives

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ATighten the restraint so the patient moves less
2. BRaise the arm on a pillow and check again in two hours
3. CDocument the finding and continue with the medication round
4. DLoosen the restraint and assess the circulation