解答つき優先順位の決定と委任ワークシート

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BDeciding whether a pressure injury has got worse since yesterday
3. CPlanning the patient’s skin care
4. DChoosing which wound dressing to use

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe charge nurse or nursing supervisor
3. CThe pharmacy technician on duty that day
4. DThe patient’s next of kin

In the AVPU scale, what does the P mean?

1. APupils equal and reactive
2. BPulse present and regular
3. CPain score below 5
4. DResponds only to pain

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGive a dose of every as-needed medication on the chart
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CGo to the station to finish documentation for other patients
4. DLeave the patient for a few minutes to find the relatives and explain what is happening

LPN/LVN に割り当てるのに最も適切な患者はどれですか？

1. A回復室から到着し、初期アセスメントが必要な患者
2. B最初の赤血球製剤の投与を受けようとしている患者
3. C30 分前に新たな胸痛で入院した患者
4. D経口薬が必要な、安定した慢性心不全の患者

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AWeigh and measure the baby on the scale
2. BGive the vitamin K injection before anything else is done
3. CGive the first bath to remove the blood and vernix
4. DDry and warm the baby while checking that it is breathing

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BNormal labor contractions starting
3. CPlacenta previa, which is usually painless
4. DA urinary tract infection

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ARefuses to eat in front of other people
2. BHeart rate 38/min and potassium 2.8 mEq/L
3. CHas fine, downy hair on her arms
4. DSays she feels fat although she is very thin