Phiếu bài tập Ưu tiên và ủy thác công việc có đáp án

What does the Morse Fall Scale measure?

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

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. ARaising the legs above the heart
2. BJaw thrust without head tilt
3. CTurning the head sharply to one side
4. DHead-tilt, chin-lift

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo let the family say goodbye to the patient
2. BTo count the swabs at the end of the operation
3. CTo confirm the correct patient, procedure and site
4. DTo give the surgeon a short rest before the operation starts

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AOffer an iron-rich meal to replace the lost blood
2. BCheck the pump rate and leave the infusion running
3. CGive a dose of vitamin K by mouth
4. DStop the heparin infusion and inform the provider

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. APlacement is confirmed by an approved method
2. BThe patient is asked if the tube feels comfortable
3. CThe tube is flushed with a large volume of water
4. DThe feed is started slowly to see if the patient coughs

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AAn expected effect that needs no action
2. BHeparin-induced thrombocytopenia
3. CIron deficiency anemia
4. DVitamin K deficiency

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ASeptic shock
2. BCardiac tamponade
3. CHypovolemic shock
4. DNeurogenic shock

Sau giao ban, điều dưỡng nên đánh giá người bệnh nào trước tiên?

1. ACOPD thở oxy 2 L/phút: SpO₂ 90%, tần số thở 22 lần/phút, ở mức nền thường ngày
2. BNgày 2 sau phẫu thuật túi mật: đau 6/10, thuốc giảm đau tiếp theo đến giờ sau 30 phút
3. C1 giờ sau thông tim qua động mạch đùi: đau lưng mới, mạch 118 lần/phút, HA 92/58 mmHg
4. DĐái tháo đường típ 2: đường huyết 210 mg/dL (11,7 mmol/L) trước bữa trưa, không triệu chứng