Scheda di esercizi di Priorità e delega con soluzioni

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Nome: ____________________   Data: ____________

1.Facile

In the ABC framework, which finding is mainly a breathing problem?

  1. AStridor caused by a swollen throat
  2. BA blood glucose of 60 mg/dL (3,3 mmol/L)
  3. CShallow breaths with an SpO₂ of 85% on room air
  4. DHeart rate 150/min with a low blood pressure and cold skin
2.Facile

Which statement belongs in the Background part of an SBAR report?

  1. A“I would like you to see him within the next 15 minutes.”
  2. B“I am calling about Mr Khan because his blood pressure has dropped.”
  3. C“He was admitted three days ago with pneumonia and also has COPD.”
  4. D“I think he may be developing sepsis.”
3.Facile

Where is intramuscular epinephrine usually injected for anaphylaxis?

  1. AA vein in the hand
  2. BThe abdomen under the skin
  3. CThe buttock
  4. DThe outer middle thigh
4.Media

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

  1. ALay the patient flat for an hour after each bag is hung
  2. BIncrease the feed rate so the stomach empties sooner
  3. CKeep the head of the bed raised to at least 30 degrees
  4. DTurn the feed off only while the patient is asleep at night
5.Media

Durante il triage START, un adulto non deambulante respira 22 volte al minuto, ha un polso radiale, esegue semplici comandi, ma ha un'evidente frattura della gamba. Quale categoria gli viene assegnata?

  1. ARosso (immediato)
  2. BGiallo (differito)
  3. CNero (atteso)
  4. DVerde (minore)
6.Media

Which SBAR recommendation is the clearest?

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

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

  1. AThe RN reassesses the patient’s learning needs and adjusts the teaching
  2. BThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
  3. CThe nursing assistant shows the patient again at lunch
  4. DThe patient is discharged with a leaflet to read at home
8.Difficile

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

  1. ASitting forward with the chin on the chest
  2. BFlat on the back with the head turned well over to one side
  3. CHead down with the legs raised above the heart
  4. DHead of the bed at about 30 degrees with the neck straight

Soluzioni

  1. 1. C · Shallow breaths with an SpO₂ of 85% on room air
  2. 2. C · “He was admitted three days ago with pneumonia and also has COPD.”
  3. 3. D · The outer middle thigh
  4. 4. C · Keep the head of the bed raised to at least 30 degrees
  5. 5. B · Giallo (differito)
  6. 6. A · “I would like you to see him within 15 minutes and consider a fluid bolus.”
  7. 7. A · The RN reassesses the patient’s learning needs and adjusts the teaching
  8. 8. D · Head of the bed at about 30 degrees with the neck straight

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