Робочий аркуш «Пріоритезація та делегування» з відповідями

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out within the next 24 hours
3. CCarry it out immediately
4. DCarry it out only if the patient asks for it

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABlood clots
2. BInfection
3. CBleeding
4. DFluid overload

What does a root cause analysis look for after a serious event?

1. AThe underlying system causes of the event
2. BWhich patient made the complaint
3. CThe single staff member who should be blamed
4. DHow much the event cost the hospital

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BCall the cardiac arrest team and let them decide
3. CStart CPR and stop when the family arrives
4. DFollow the DNR order and do not start CPR

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will keep my INR blood test appointments.”
2. B“I will use a soft toothbrush.”
3. C“If I miss a dose, I will take two the next day.”
4. D“I will tell my dentist and pharmacist that I take warfarin.”

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AHead-tilt, chin-lift with full neck extension
2. BRaising the chin while bending the neck forward
3. CJaw thrust, keeping the head and neck in line
4. DTurning the head to the side to drain water

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CGive the insulin as a fast bolus to bring the potassium up
4. DReport the result before starting, because insulin will push potassium even lower

On a cardiac step-down unit, which patient should the nurse assess first?

1. AHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest
2. BAtrial fibrillation on warfarin with an INR of 2,6 this morning
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DDay 2 after a pacemaker insertion, asking when the wound dressing will be changed