정답이 있는 우선순위 설정과 위임 학습지

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a patient with newly diagnosed dysphagia after a stroke
2. BFeeding a stable patient who has no swallowing problems
3. CAssessing a pressure injury on the sacrum
4. DGiving a stable patient their oral medications

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNot for physical therapy
3. CNothing by mouth
4. DNormal patient observations

In the AVPU scale, what does the P mean?

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

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CGive a cough suppressant so that the incision is not strained
4. DKeep the patient lying flat in bed to rest the incision fully

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA side effect of drinking too much water
3. CFecal impaction with liquid stool passing around it
4. DA new bowel infection that has caused the diarrhea

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 is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. ADocument the concern and continue routine care
2. BActivate the rapid response team
3. CAsk the patient’s family to call the provider
4. DWait another hour and call the provider again

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AYellow (delayed)
2. BGreen (minor)
3. CRed (immediate)
4. DBlack (expectant)