Робочий аркуш «Пріоритезація та делегування» з відповідями

For a patient who does not take an anticoagulant, which INR is normal?

1. A6,0
2. B4,0
3. C1,0
4. D2,5

Using the PASS method for a fire extinguisher, what is the first step?

1. ASweep from side to side
2. BPull the pin
3. CAim at the base of the fire
4. DSqueeze the handle

Which symptoms suggest high blood glucose (hyperglycemia)?

1. AConfusion that improves quickly with juice
2. BSweating, shaking and a fast pulse
3. CIncreased thirst and passing more urine
4. DSudden hunger with cold, clammy skin

A nurse cannot read part of a medication order. What should the nurse do?

1. ASkip the drug and not tell anyone until the next ward round
2. BGive the usual dose of the drug the nurse thinks was meant
3. CContact the prescriber to clarify the order before giving the drug
4. DAsk another nurse to guess what the order most likely says, then give it

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. AStop or slow the infusion and inform the provider
2. BIgnore it, because flushing is always harmless and passes
3. CSpeed up the infusion to finish it quickly
4. DApply a warm compress to the face and neck

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AStarting the transfusion once the blood arrives
2. BDeciding whether to stop the transfusion if the patient has chills
3. CAssessing the patient for signs of a transfusion reaction
4. DMeasuring and reporting vital signs at the times set by the nurse

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. ATell the patient she must leave home and go to live somewhere else
2. BAsk the relative directly in front of the patient whether they hit her
3. CEnsure the patient’s safety, document the findings and report as required
4. DIgnore it, because older people bruise easily

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive thickened fluids without checking the swallow
4. DGive the water through a straw so it goes down slowly