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

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B22–26 mEq/L
3. C3,5–5,0 mEq/L
4. D80–100 mEq/L

Khi một câu hỏi ưu tiên hỏi nên làm gì "trước tiên", câu hỏi đang yêu cầu điều gì?

1. AHành động mất nhiều thời gian nhất để hoàn thành
2. BHành động điều dưỡng làm thường xuyên nhất trong một ca điển hình
3. CBước đứng trước các bước khác, dù tất cả đều đúng
4. DLựa chọn duy nhất đúng; các lựa chọn khác sai

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AHigh, suggesting fluid overload
2. BLow and needing to be reported
3. CExpected after drinking fluids
4. DNormal for an adult at rest

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BCall the cardiac arrest team and let them decide
3. CStart chest compressions but not rescue breaths
4. DStart CPR and stop when the family arrives

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CCover the wound with sterile dressings moistened with saline
4. DLeave the wound uncovered so the surgeon can see it on arrival

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. AWait for the next contraction before acting
2. BAsk the patient to walk around the room to bring the baby lower and speed up labor
3. CPush the cord back into the uterus
4. DRelieve pressure on the cord by lifting the presenting part with a gloved hand

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. ALeave the patient alone so they can rest
2. BStart a series of aggressive tests to find the exact cause of the breathlessness
3. CGive prescribed opioids and use positioning and a fan to relieve breathlessness
4. DWithhold all opioids because they may slow breathing

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 5
2. BLevel 4
3. CLevel 2
4. DLevel 1