1.Dễ
Điều nào sau đây là một trong năm đúng của việc ủy quyền?
- AĐúng liều và hàm lượng
- BĐúng đường dùng và vị trí tiêm
- CĐúng thời gian và tần suất
- DĐúng giám sát và đánh giá
2.Dễ
Which patient is unstable?
- AA patient with a healing leg wound and normal vital signs this morning
- BA patient with long-standing arthritis pain of 3/10
- CA patient waiting for a planned hip X-ray
- DA patient with a new irregular pulse who says they feel dizzy
3.Dễ
When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?
- AHow long the patient has been in the hospital since admission
- BHow ill the patient is and how much nursing care they need
- CHow far the patient’s room is from the nurses’ station
- DHow many visitors the patient is expected to have
4.Trung bình
Dùng Chỉ số mức độ nghiêm trọng cấp cứu, người bệnh nào được mức cấp độ cao nhất?
- ANgười bệnh không đáp ứng, thở ngáp không đều
- BNgười bệnh đau ngực với dấu hiệu sinh tồn bình thường
- CNgười bệnh có thể gãy cổ chân
- DNgười bệnh đau họng ba ngày với dấu hiệu sinh tồn bình thường
5.Trung bình
A patient has a new plaster cast that is still drying. How should the nurse handle it?
- ABy resting it directly on a hard surface
- BWith the palms of the hands, not the fingertips
- CBy covering it tightly with a plastic sheet
- DWith the fingertips, pressing firmly to test it
6.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 a temperature of 38,2 °C after vaccination
- CA child with croup who has a barking cough but no stridor at rest
- DA child with asthma who is now quiet with very little air movement
7.Khó
A patient has a new spinal cord injury at C4. Which assessment is the priority?
- AAbility to feed themselves
- BBowel sounds in all four abdominal quadrants
- CBreathing effort and ability to cough
- DSkin over the sacrum and heels
8.Khó
On a cardiac step-down unit, which patient should the nurse assess first?
- AHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest
- BSix hours after a coronary stent, new chest pain with ST elevation on the monitor
- CDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
- DAtrial fibrillation on warfarin with an INR of 2,6 this morning
Đáp án
- 1. D · Đúng giám sát và đánh giá
- 2. D · A patient with a new irregular pulse who says they feel dizzy
- 3. B · How ill the patient is and how much nursing care they need
- 4. A · Người bệnh không đáp ứng, thở ngáp không đều
- 5. B · With the palms of the hands, not the fingertips
- 6. D · A child with asthma who is now quiet with very little air movement
- 7. C · Breathing effort and ability to cough
- 8. B · Six hours after a coronary stent, new chest pain with ST elevation on the monitor
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.