Робочий аркуш «Пріоритезація та делегування» з відповідями

Which serum creatinine result suggests reduced kidney function in an adult?

1. A0,8 mg/dL (about 70 µmol/L)
2. B0,7 mg/dL (about 60 µmol/L)
3. C1,0 mg/dL (about 90 µmol/L)
4. D3,5 mg/dL (about 310 µmol/L)

What does the Morse Fall Scale measure?

1. AA patient’s risk of falling
2. BA patient’s skin integrity
3. CA patient’s nutrition status
4. DA patient’s pain level

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BSerious but stable for now, and needs care soon
3. CLife-threatening and needs care immediately
4. DAlready deceased on arrival

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will check the expiry date on the label before I use the vial.”
2. B“I will not leave my insulin in a hot car.”
3. C“I will keep unopened insulin in the fridge.”
4. D“I will keep my spare insulin in the freezer so it lasts longer.”

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AAt the end of the shift
2. BOnly when the patient asks for more
3. CWithin about 15–30 minutes
4. DAt the next routine round in four hours

Якого пацієнта медсестра має оглянути першим?

1. AПацієнта з новою нечіткою мовою та опущенням обличчя, що почалися 30 хвилин тому
2. BПацієнта з давнім ревматоїдним артритом і звичною ранковою скутістю суглобів
3. CПацієнта з діабетом 2 типу, який питає про дієту
4. DПацієнта з хронічною хворобою нирок, якому завтра діаліз

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AReport it to the nurse manager according to policy
2. BAsk the colleague to share the vial with them
3. CSay nothing, because it is not their business
4. DTell the patients to watch the colleague carefully

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AChecking the fluid for glucose or a halo sign on gauze
2. BInserting a tube or suction catheter through the nose
3. CInforming the provider about the drainage
4. DPlacing a loose gauze under the nose