Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which term describes a patient who is unable to understand and decide about their own care?

1. AExercising autonomy
2. BLacking decision-making capacity
3. CProviding valid informed consent
4. DFully competent

Which task can the RN usually assign to an LPN/LVN?

1. AChanging the dressing on a stable, healing wound
2. BTriaging a new arrival in the emergency department
3. CWriting the patient’s initial plan of care
4. DDoing the admission assessment of a new patient

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. ASlow, and expected while the patient is asleep
2. BAbnormally fast and needing assessment
3. CWithin the normal adult range
4. DNormal after a meal

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. AA severe headache with blurred vision
2. BNeeding to pass urine more often
3. CMild ankle swelling at the end of the day
4. DBackache after a long walk

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse hand gestures and hope the patient understands
2. BUse a professional medical interpreter
3. CAsk the patient’s 10-year-old child to translate
4. DSpeak loudly and slowly in English

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

1. ATurn the feed off only while the patient is asleep at night
2. BKeep the head of the bed raised to at least 30 degrees
3. CLay the patient flat for an hour after each bag is hung
4. DIncrease the feed rate so the stomach empties sooner

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. ANormal lochia for the first hour
2. BA full bladder pushing the uterus aside
3. CA tear in the birth canal or cervix
4. DUterine atony that needs more massage

Which patient needs airborne precautions rather than droplet precautions?

1. AAn adult with influenza
2. BA child with chickenpox (varicella)
3. CA teenager with mumps
4. DA child with pertussis (whooping cough)