Scheda di esercizi di Priorità e delega con soluzioni

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BAirway, blood glucose and pupils
3. CPulse, blood pressure and body temperature
4. DRespirations, perfusion and mental status

When taking off protective equipment, which item is usually removed first?

1. AGoggles
2. BGloves
3. CMask
4. DGown

Who is responsible for developing the nursing plan of care?

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

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the palms of the hands, not the fingertips
2. BBy resting it directly on a hard surface
3. CBy covering it tightly with a plastic sheet
4. DWith the fingertips, pressing firmly to test it

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse hand gestures and hope the patient understands
2. BSpeak loudly and slowly in English
3. CUse a professional medical interpreter
4. DAsk the patient’s 10-year-old child to translate

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child aspirin to bring the fever down.”
2. B“I will call if my child has trouble breathing.”
3. C“I will keep my child home from school and away from others while unwell.”
4. D“I will give my child plenty of fluids.”

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BAsk a nursing assistant which patient is which
3. CUse the room number as the main identifier
4. DAsk the patient, “Are you Mr Smith?” and give the drug once he says yes

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APush firmly on the top of the uterus (fundal pressure)
2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
3. CAsk the mother to stop pushing and wait an hour
4. DHelp with the McRoberts position and give suprapubic pressure as directed