Робочий аркуш «Пріоритезація та делегування» з відповідями

When is the Apgar score usually assessed?

1. AOnly at 24 hours after birth
2. BAt the first postnatal clinic visit
3. CAt 1 and 5 minutes after birth
4. DBefore the baby is born

Which serum potassium result should the nurse report to the provider promptly?

1. A6,4 mEq/L (6,4 mmol/L)
2. B3,8 mEq/L (3,8 mmol/L)
3. C4,9 mEq/L (4,9 mmol/L)
4. D4,2 mEq/L (4,2 mmol/L)

A medication error has just reached a patient. What is the nurse’s first action?

1. AAssess the patient for any effects of the error
2. BCorrect the entry on the medication record
3. CTell the nurse manager at the end of the shift
4. DComplete an incident report before doing anything else

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“Only she should press the button when she needs pain relief.”
3. C“The pump has limits set by the nurse so she cannot get too much at once.”
4. D“I will tell the nurse if she becomes very sleepy or hard to wake.”

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CRaise the head of the bed, give oxygen and call for urgent help
4. DEncourage the patient to walk to improve the circulation

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BGive IV dextrose or glucagon as prescribed
3. CWait 15 minutes and recheck the glucose
4. DPour orange juice into the patient’s mouth

LPN/LVN повідомляє, що у стабільного пацієнта тепер новий біль у грудях. Що має зробити дипломована медсестра?

1. AПопросити LPN/LVN впоратися з цим і доповісти наприкінці зміни
2. BОсобисто оцінити пацієнта й вирішити щодо наступних кроків
3. CСказати LPN/LVN дати нітрогліцерин за потреби без оцінювання
4. DПопросити помічника з догляду зняти ЕКГ і чекати результату

On an addiction unit, which patient should the nurse assess first?

1. AAsking for an extra blanket and a hot drink
2. BDrowsy with pinpoint pupils and a respiratory rate of 7/min
3. CAnxious, with goose bumps, stomach cramps and loose stools
4. DYawning, with a runny nose and dilated pupils