Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AGiving scheduled oral medications
2. BReinforcing teaching already given
3. CGiving an IV push medication
4. DMeasuring vital signs

In stroke care, what does the “last known well” time mean?

1. AThe time the patient arrived at the hospital and was triaged
2. BThe time the first symptom was noticed by a stranger
3. CThe last time the patient was seen without stroke symptoms
4. DThe time of the patient’s last meal

What does a “PRN” medication order mean?

1. AGive the drug only before surgery
2. BGive the drug at exactly the same time every single day
3. CGive the drug once only, immediately
4. DGive the drug when needed, within the prescribed limits

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BWants help with washing her hair before her visitors arrive this afternoon
3. CPain of 4/10 one hour after an oral analgesic
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

Širdies sustojimo metu palatoje, koks veiksmas eina pirmas, kai patvirtinama, kad pacientas nereaguoja ir nekvėpuoja normaliai?

1. ASusirasti paciento dokumentus ir patikrinti gaivinimo statusą, prieš kviečiant pagalbą
2. BAtlikti du gelbstinčius įpūtimus, tada vieną minutę tikrinti pulsą
3. CKviesti pagalbą ir pradėti krūtinės ląstos paspaudimus
4. DIšmatuoti kraujospūdį

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will wait until tomorrow morning to see if the reading gets better on its own.”
2. B“I will stop all my inhalers until the reading is back up.”
3. C“I will use my reliever inhaler and get emergency help straight away.”
4. D“I will go for a short run to open up my lungs.”

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Help him wash and change, and tell me at once if you see any red or broken skin.”
4. D“Check his glucose before lunch and tell me the number straight away.”

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BThe patient is hyperventilating even more than before and needs calming
3. CA laboratory error that should be ignored
4. DThe asthma is improving, because the PaCO₂ is now near normal