1.Dễ
What does the Braden Scale measure?
- AThe risk of developing a pressure injury
- BThe risk of falling during a hospital stay
- CThe severity of alcohol withdrawal symptoms
- DThe level of consciousness after a head injury
2.Dễ
In delegation, what does the “right task” mean?
- AThe task has been requested by the patient or the patient’s family
- BThe task is the one the nurse likes least
- CThe task is one that may be delegated for this patient
- DThe task can be finished in under ten minutes
3.Dễ
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AA planned admission to intensive care
- BA minor error that was noticed but caused no harm at all
- CA routine handover between shifts
- DAn unexpected event that causes death or serious harm
4.Trung bình
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?
- AGive the scheduled dose of insulin
- BGive IV dextrose or glucagon as prescribed
- CPour orange juice into the patient’s mouth
- DWait 15 minutes and recheck the glucose
5.Trung bình
An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?
- AFecal impaction with liquid stool passing around it
- BA side effect of drinking too much water
- CA new bowel infection that has caused the diarrhea
- DThe constipation has fully resolved
6.Trung bình
A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?
- A“I will take my weight on my hands, not on my armpits.”
- B“I will lean on the crutch pads under my arms to rest.”
- C“I will keep the crutch tips in good condition.”
- D“I will remove loose rugs from the floor at home.”
7.Khó
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
- AAcute chest syndrome, which needs urgent escalation and oxygen
- BA minor chest infection that can safely wait until the morning round
- CAnxiety that will settle with reassurance
- DAn ordinary pain crisis that will improve with rest
8.Khó
A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?
- ATighten the restraint so the patient moves less
- BDocument the finding and continue with the medication round
- CLoosen the restraint and assess the circulation
- DRaise the arm on a pillow and check again in two hours
Đáp án
- 1. A · The risk of developing a pressure injury
- 2. C · The task is one that may be delegated for this patient
- 3. D · An unexpected event that causes death or serious harm
- 4. B · Give IV dextrose or glucagon as prescribed
- 5. A · Fecal impaction with liquid stool passing around it
- 6. B · “I will lean on the crutch pads under my arms to rest.”
- 7. A · Acute chest syndrome, which needs urgent escalation and oxygen
- 8. C · Loosen the restraint and assess the circulation
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.