Scheda di esercizi di Priorità e delega con soluzioni

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo decide the patient’s diet
2. BTo calculate the correct drug doses for each patient
3. CTo spot deterioration early from routine vital signs
4. DTo measure the patient’s satisfaction with care

Which drug reverses the anticoagulant effect of heparin?

1. ANaloxone
2. BAtropine
3. CProtamine sulfate
4. DVitamin K

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A89%
2. B96%
3. C99%
4. D97%

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AOnly when the patient asks for more
2. BAt the end of the shift
3. CAt the next routine round in four hours
4. DWithin about 15–30 minutes

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AIrrigating the tube when it blocks
2. BGiving mouth care
3. CChecking the tube’s position
4. DAssessing the drainage for blood

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ACrohn disease, waiting to be taken down for a scheduled CT scan
2. BUlcerative colitis, asking about diet changes for home
3. CLong-standing back pain, asking for the usual analgesic
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

On a cardiac step-down unit, which patient should the nurse assess first?

1. AAtrial fibrillation on warfarin with an INR of 2,6 this morning
2. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest

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

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