Scheda di esercizi di Priorità e delega con soluzioni

Which type of stroke is the most common?

1. AHemorrhagic stroke
2. BIschemic stroke
3. CSubarachnoid hemorrhage
4. DVenous sinus thrombosis

Who is responsible for developing the nursing plan of care?

1. AThe nursing assistant
2. BThe registered nurse
3. CThe LPN/LVN alone
4. DThe ward clerk

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BIt measures the carbon dioxide in the blood
3. CCold fingers or nail polish can give an inaccurate reading
4. DThe reading is always correct, whatever finger or hand is used

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive IV sodium bicarbonate as soon as it can be found
4. DGive oxygen at the highest flow and leave the room

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALeave it because the patient is asleep
2. BAsk the family to lower the bed when they next visit
3. CWrite it in the assistant’s yearly review only
4. DLower the bed now and remind the assistant why it matters

Durante il triage START in una maxi-emergenza, una vittima riesce a camminare fino all'area indicata quando glielo si chiede. Quale categoria le viene assegnata?

1. ARosso (immediato)
2. BNero (atteso)
3. CGiallo (differito)
4. DVerde (minore)

Which patient with cirrhosis should the nurse see first?

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

Un infermiere assiste quattro pazienti. Chi può essere assegnato in sicurezza all'assistente infermieristico per l'assistenza di routine?

1. AUn paziente che torna dalla sala operatoria e necessita della prima valutazione postoperatoria
2. BUn paziente con glicemia di 52 mg/dL (2,9 mmol/L) che sta sudando
3. CUn paziente a cinque giorni da un ictus che necessita di aiuto per il bagno e ha parametri vitali stabili
4. DUn paziente con un nuovo drenaggio toracico posizionato un'ora fa