Робочий аркуш «Пріоритезація та делегування» з відповідями

Which hemoglobin result is low for an adult woman?

1. A7,8 g/dL (78 g/L)
2. B14,0 g/dL (140 g/L)
3. C13,2 g/dL (132 g/L)
4. D12,6 g/dL (126 g/L)

To which patients do standard precautions apply?

1. AOnly patients in intensive care
2. BOnly patients with a confirmed infection on a lab test
3. CAll patients, whether or not an infection is known
4. DOnly patients with an open wound

Which medication reverses opioid-induced respiratory depression?

1. AFlumazenil
2. BNaloxone
3. CProtamine sulfate
4. DVitamin K

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BNew chest pain or confusion suggesting organ damage
3. CForgetting to take the blood pressure tablet this morning
4. DMild anxiety about the high reading on the monitor

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AHold the arms and legs down firmly to stop the jerking movements quickly
2. BProtect the head and turn the patient on their side when possible
3. CGive a drink of water to help the patient wake
4. DPlace a tongue depressor between the teeth

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AReassure the patient that a coarse tremor is expected at first
2. BEncourage the patient to cut down on salt and fluids
3. CHold the next dose and report for an urgent lithium level
4. DGive the dose with food to reduce the stomach upset

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child black at once and move on to the next victim
2. BGive five rescue breaths; if breathing starts, tag the child red
3. CTag the child green and return to them after the others
4. DStart full CPR on the child and stay with them until more help arrives

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BA spiral fracture in an infant is always caused by birth trauma
3. CNo further action is needed once the fracture is treated
4. DInfants of this age often roll off furniture and break bones in this way