Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Using the PASS method for a fire extinguisher, what is the first step?

1. ASqueeze the handle
2. BPull the pin
3. CSweep from side to side
4. DAim at the base of the fire

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the bed number
2. BAt least two, such as name and date of birth
3. CNone, if the nurse already knows the patient well
4. DOne, the room number

What is the main purpose of an incident report?

1. ATo improve safety by finding out why events happen
2. BTo inform the patient’s insurance company
3. CTo decide which staff member should be punished
4. DTo replace the nurse’s notes in the patient’s record

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will blow into it as hard and fast as I can.”
2. B“I will use it several times every hour while awake.”
3. C“I will breathe in slowly and deeply through the mouthpiece.”
4. D“I will try to hold my breath for a few seconds at the top.”

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Thank you, please suction him as needed and tell me how it went.”
2. B“Ask the patient’s family to do the suctioning today.”
3. C“Leave the suctioning until the next shift arrives.”
4. D“Suctioning a new tracheostomy is my task; I will do it myself.”

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will keep a pillow between my knees when I lie on my side in bed.”

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. AA sudden worsening of long-standing dementia that needs no tests
2. BBoredom from not having enough activities
3. CAn infection, such as a urinary tract infection, presenting atypically
4. DNormal aging that needs no assessment

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AAcute arterial occlusion, which is an emergency
2. BChronic venous insufficiency that needs elevation
3. CA muscle cramp that will pass with stretching
4. DA deep vein thrombosis that can be treated next week