1.Dễ
Which statement belongs in the Background part of an SBAR report?
- A“He was admitted three days ago with pneumonia and also has COPD.”
- B“I would like you to see him within the next 15 minutes.”
- C“I think he may be developing sepsis.”
- D“I am calling about Mr Khan because his blood pressure has dropped.”
2.Dễ
Trong Chỉ số mức độ nghiêm trọng cấp cứu (ESI), mức 1 có nghĩa gì?
- AĐủ ổn định để được khám ở khu khám nhanh
- BCần hai nguồn lực trở lên
- CCần can thiệp cứu sống ngay lập tức
- DLà người bệnh ít khẩn cấp nhất
3.Dễ
Which patient usually fits ESI level 5?
- AAn adult in cardiac arrest
- BA stable adult who needs blood tests and an X-ray of the chest
- CA stable adult who only needs a repeat prescription
- DAn adult with chest pain suggesting a heart attack
4.Trung bình
On a pediatric unit, which child does the nurse assess first?
- AA child in a new arm cast with pink, warm fingers and pain of 5/10
- BA child with croup who has a barking cough but no stridor at rest
- CA child with a temperature of 38,2 °C after vaccination
- DA child with asthma who is now quiet with very little air movement
5.Trung bình
A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?
- AStarting the transfusion once the blood arrives
- BAssessing the patient for signs of a transfusion reaction
- CDeciding whether to stop the transfusion if the patient has chills
- DMeasuring and reporting vital signs at the times set by the nurse
6.Trung bình
Which postoperative patient should the nurse see first?
- AAsking when the urinary catheter will be removed
- BDressing soaked with bright red blood and a heart rate rising to 118/min
- CPain of 4/10 one hour after an oral analgesic
- DWants help with washing her hair before her visitors arrive this afternoon
7.Khó
A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?
- AAsk a nursing assistant to do it instead
- BDecline, explain why and suggest who can safely do it
- CDo it, because the provider gave the instruction
- DDo it just this once and promise the provider not to do it again
8.Khó
Four patients arrive at the emergency department at the same time. Who should be seen first?
- AA child with a temperature of 39 °C who is alert and drinking
- BA young adult with a swollen, painful ankle after a fall on the stairs
- CAn adult with kidney stone pain of 9/10 and stable vital signs
- DAn older adult with weakness on one side that began 40 minutes ago
Đáp án
- 1. A · “He was admitted three days ago with pneumonia and also has COPD.”
- 2. C · Cần can thiệp cứu sống ngay lập tức
- 3. C · A stable adult who only needs a repeat prescription
- 4. D · A child with asthma who is now quiet with very little air movement
- 5. D · Measuring and reporting vital signs at the times set by the nurse
- 6. B · Dressing soaked with bright red blood and a heart rate rising to 118/min
- 7. B · Decline, explain why and suggest who can safely do it
- 8. D · An older adult with weakness on one side that began 40 minutes ago
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