Робочий аркуш «Пріоритезація та делегування» з відповідями

Which statement about pulse oximetry is correct?

1. AThe reading is always correct, whatever finger or hand is used
2. BIt shows the patient’s blood glucose
3. CCold fingers or nail polish can give an inaccurate reading
4. DIt measures the carbon dioxide in the blood

What should the nurse try before using physical restraints on a confused patient?

1. AAsking the family to bring restraints from home
2. BLess restrictive measures, such as more frequent checks or a bed alarm
3. CUsing restraints at once and removing them later if they turn out not to be needed
4. DRestraining all four limbs to be fully safe

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

1. ASqueeze the handle
2. BPull the pin
3. CSweep from side to side
4. DAim at the base of the fire

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 1 after bowel surgery, new chest pain and heart rate 110/min
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BLeaving the catheter in place longer than needed
3. CRaising the drainage bag above the bladder when walking
4. DDisconnecting the bag every shift to empty it

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AAsk the nursing assistant to reposition the patient
2. BTell the patient to wait until the next scheduled dose is due in two hours
3. CGive the strongest analgesic on the chart straight away
4. DAssess the location, character and onset of the pain and the vital signs

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. AAbility to feed themselves
2. BBreathing effort and ability to cough
3. CBowel sounds in all four abdominal quadrants
4. DSkin over the sacrum and heels

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BA minor chest infection that can safely wait until the morning round
3. CAn ordinary pain crisis that will improve with rest
4. DAnxiety that will settle with reassurance