Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In a three-level triage system, what does “urgent” mean?

1. ALife-threatening and needs care immediately
2. BAlready deceased on arrival
3. CSerious but stable for now, and needs care soon
4. DMinor, and can safely wait for several hours

What is a “near miss” in patient safety?

1. AAn error that reached the patient and caused serious harm
2. BA planned treatment that did not work
3. CA complaint from a visitor
4. DAn error that was caught before it reached the patient

To which patients do standard precautions apply?

1. AOnly patients with a confirmed infection on a lab test
2. BOnly patients with an open wound
3. CAll patients, whether or not an infection is known
4. DOnly patients in intensive care

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AVitamin D (calciferol)
2. BVitamin K (phytonadione)
3. CThiamine (vitamin B₁)
4. DVitamin C (ascorbic acid)

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BOffer an iron-rich meal to replace the lost blood
3. CCheck the pump rate and leave the infusion running
4. DStop the heparin infusion and inform the provider

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I will call if my weight goes up quickly over a day or two.”
2. B“I will take my water tablet in the morning.”
3. C“I add extra salt to my food so it tastes better.”
4. D“I will weigh myself every morning after I use the toilet.”

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient who has just arrived from the emergency department with pneumonia and confusion
2. BA patient on a new IV medication that needs frequent titration
3. CA patient with a long-standing tracheostomy who needs routine suctioning and care
4. DA patient with a tracheostomy placed this morning who is coughing up blood

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AMild breathlessness with reduced breath sounds on one side of the chest only
2. BA small air leak seen on a routine chest X-ray
3. CSharp chest pain that is worse on deep breathing
4. DTrachea shifted away from the affected side, with low blood pressure