Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When is a patient most ready to learn about self-care?

1. AStraight after hearing bad news about a serious new diagnosis
2. BWhile in severe pain, so the lesson feels important
3. CWhen pain is controlled and basic physical needs are met
4. DDuring a period of acute breathlessness

What does a root cause analysis look for after a serious event?

1. AWhich patient made the complaint
2. BHow much the event cost the hospital
3. CThe single staff member who should be blamed
4. DThe underlying system causes of the event

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BUse an extinguisher on the fire
3. CPull the fire alarm
4. DRescue patients in immediate danger

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DRespiratory acidosis

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe patient’s body is in line with the traction
2. BThe weights are resting on the floor
3. CThe weights are hanging freely
4. DThe ropes are in the pulleys

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BWrite it in the assistant’s yearly review only
3. CLower the bed now and remind the assistant why it matters
4. DLeave it because the patient is asleep

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AGive all patients antidiarrheal drugs without assessment
2. BMove the affected patients into shared rooms with other patients to free up beds
3. CWait to see if more patients become unwell
4. DPlace affected patients on contact precautions and inform infection control

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

1. AA patient on a new IV medication that needs frequent titration
2. BA patient who has just arrived from the emergency department with pneumonia and confusion
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