Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

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

Which three things does START triage check in a non-walking adult?

1. ARespirations, perfusion and mental status
2. BPulse, blood pressure and body temperature
3. CPain score, mobility and age
4. DAirway, blood glucose and pupils

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

1. ANot for physical therapy
2. BNothing by mouth
3. CNo pain observed
4. DNormal patient observations

Before giving a medication to a child, which check is especially important?

1. AThat the child likes the taste of the drug
2. BThat the medicine cup is the child’s favorite color
3. CThat the parent agrees with the time it is given
4. DThat the dose is correct for the child’s weight

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will keep the crutch tips in good condition.”
2. B“I will remove loose rugs from the floor at home.”
3. C“I will lean on the crutch pads under my arms to rest.”
4. D“I will take my weight on my hands, not on my armpits.”

Which patient is at the highest risk of falling?

1. AA 45-year-old with asthma who is alert and independent
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ATell the patients to watch the colleague carefully
2. BSay nothing, because it is not their business
3. CReport it to the nurse manager according to policy
4. DAsk the colleague to share the vial with them

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
2. BThe tight burned skin is restricting chest movement, so an escharotomy may be needed
3. CThe patient is anxious and only needs reassurance
4. DThe burns are healing and the skin is tightening normally