Scheda di esercizi di Priorità e delega con soluzioni

In un sistema di triage a tre livelli, quale paziente è in emergenza?

1. AUn'eruzione cutanea da tre giorni senza febbre
2. BLa richiesta di una ripetizione di ricetta
3. CDolore toracico con sudorazione e mancanza di respiro
4. DDolore addominale da due giorni con parametri vitali normali

Nella gerarchia di Maslow, quale livello viene subito dopo i bisogni fisiologici?

1. ASicurezza e protezione
2. BAutorealizzazione
3. CAmore e appartenenza
4. DStima e riconoscimento

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B18,000/mm³ (18 × 10⁹/L)
3. C7,000/mm³ (7 × 10⁹/L)
4. D8,200/mm³ (8,2 × 10⁹/L)

Which SBAR recommendation is the clearest?

1. A“He seems a bit off tonight, so maybe you could come up and do something about it.”
2. B“I just wanted to let you know about him.”
3. C“I would like you to see him within 15 minutes and consider a fluid bolus.”
4. D“I will keep watching him and call again tomorrow.”

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BAsk the patient to walk around the ward until the food arrives
3. CTell the patient to wait and do nothing until the tray comes
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with croup who has a barking cough but no stridor at rest
4. DA child with a temperature of 38,2 °C after vaccination

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe burns are healing and the skin is tightening normally
2. BThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
3. CThe tight burned skin is restricting chest movement, so an escharotomy may be needed
4. DThe patient is anxious and only needs reassurance

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AAn echocardiogram to look for clots
2. BA full lipid profile to check cholesterol
3. CA brain scan to rule out bleeding
4. DA swallow test with a cup of water