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

In the AVPU scale, what does the P mean?

1. APulse present and regular
2. BPain score below 5
3. CPupils equal and reactive
4. DResponds only to pain

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BAssess the patient for any effects of the error
3. CTell the nurse manager at the end of the shift
4. DComplete an incident report before doing anything else

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BPlanning the patient’s skin care
3. CChoosing which wound dressing to use
4. DDeciding whether a pressure injury has got worse since yesterday

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe patient’s body is in line with the traction
3. CThe weights are resting on the floor
4. DThe weights are hanging freely

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory alkalosis
2. BMetabolic acidosis
3. CRespiratory acidosis
4. DMetabolic alkalosis

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will stop the tablets as soon as I feel better.”
2. B“I will tell my dentist and other doctors that I take a steroid.”
3. C“I will take the tablets with food.”
4. D“I will report signs of infection early.”

On an addiction unit, which patient should the nurse assess first?

1. AYawning, with a runny nose and dilated pupils
2. BAsking for an extra blanket and a hot drink
3. CDrowsy with pinpoint pupils and a respiratory rate of 7/min
4. DAnxious, with goose bumps, stomach cramps and loose stools

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetes insipidus
2. BSIADH
3. CDiabetic ketoacidosis
4. DAcute kidney injury with oliguria