Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient usually fits ESI level 5?

1. AA stable adult who only needs a repeat prescription
2. BAn adult with chest pain suggesting a heart attack
3. CA stable adult who needs blood tests and an X-ray of the chest
4. DAn adult in cardiac arrest

Which finding in an infant is a sign of breathing difficulty?

1. APink, warm hands and feet
2. BNasal flaring
3. CA strong cry
4. DWet diapers every few hours

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

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

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

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. AHide the patient’s clothes and belongings until the provider arrives
2. BLet the patient leave without telling anyone
3. CInform the provider, explain the risks and document the discussion
4. DLock the door so the patient cannot leave the unit

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy covering it tightly with a plastic sheet
2. BWith the fingertips, pressing firmly to test it
3. CBy resting it directly on a hard surface
4. DWith the palms of the hands, not the fingertips

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AThyroid storm
2. BOpioid withdrawal
3. CMyxedema coma
4. DA normal reaction to pain

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADecline, explain why and suggest who can safely do it
2. BDo it just this once and promise the provider not to do it again
3. CDo it, because the provider gave the instruction
4. DAsk a nursing assistant to do it instead