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

In the AVPU scale, what does the P mean?

1. APupils equal and reactive
2. BPulse present and regular
3. CResponds only to pain
4. DPain score below 5

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

1. ALow and needing to be reported
2. BExpected after drinking fluids
3. CNormal for an adult at rest
4. DHigh, suggesting fluid overload

Which statement about the nursing process is correct when setting priorities?

1. APlanning comes first, before seeing the patient
2. BAssessment comes first, because the other steps depend on it
3. CEvaluation comes first, before any patient data have been collected
4. DImplementation comes first, so care starts quickly

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BDislocation of the new hip
3. CA urinary tract infection
4. DA pressure injury on the heel

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

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

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I will take my water tablet in the morning.”
2. B“I will call if my weight goes up quickly over a day or two.”
3. C“I will weigh myself every morning after I use the toilet.”
4. D“I add extra salt to my food so it tastes better.”

Báo cáo nào của phụ tá điều dưỡng điều dưỡng nên xử trí trước tiên?

1. AMột người bệnh đái tháo đường nói bàn chân thường tê ran, như mọi khi
2. BMột người bệnh nằm nghỉ tại giường xin bô
3. CMột người bệnh viêm phổi ho ra đờm vàng
4. DSau phẫu thuật hàn cột sống thắt lưng sáng nay, không cảm nhận hay cử động được hai chân

Which patient with cirrhosis should the nurse see first?

1. AVomiting bright red blood, heart rate 120/min
2. BLarge ascites that is unchanged from yesterday
3. CLong-standing jaundice and itchy skin, asking for cream
4. DWants to talk about stopping drinking alcohol for good