Робочий аркуш «Пріоритезація та делегування» з відповідями

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A1%
2. B9%
3. C36%
4. D18%

When taking off protective equipment, which item is usually removed first?

1. AGoggles
2. BMask
3. CGown
4. DGloves

Яка навчальна діяльність належить дипломованій медсестрі (RN), а не практичній (LPN/LVN)?

1. AПерше навчання щодо нового діагнозу та його лікування
2. BНагадування пацієнтові щогодини користуватися стимулюючим спірометром
3. CЗакріплення навчання, яке вже провела дипломована медсестра
4. DРоздавання листівки, яку дипломована медсестра вже пояснила

On a pediatric unit, which child does the nurse assess first?

1. AA child with a temperature of 38,2 °C after vaccination
2. BA child with asthma who is now quiet with very little air movement
3. CA child with croup who has a barking cough but no stridor at rest
4. DA child in a new arm cast with pink, warm fingers and pain of 5/10

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AGive the next dose of lisinopril with water
2. BAssess the airway and call for urgent help
3. CApply a cold pack and recheck in an hour
4. DTell the patient this is a common, harmless effect

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AApply extra blankets to keep the patient warm and calm
2. BGive a warm drink and recheck the blood pressure in an hour
3. CSit the patient upright with the legs lowered
4. DLay the patient flat with the legs raised

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AAsk the mother to stop pushing and wait an hour
2. BPush firmly on the top of the uterus (fundal pressure)
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AGiving the breathless patient’s IV furosemide
2. BExplaining the new diagnosis to the breathless patient’s family
3. CAssessing the breathless patient’s lung sounds
4. DMorning vital signs on the four stable patients