Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a patient with newly diagnosed dysphagia after a stroke
2. BAssessing a pressure injury on the sacrum
3. CFeeding a stable patient who has no swallowing problems
4. DGiving a stable patient their oral medications

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

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

What is a transient ischemic attack (TIA)?

1. AA heart attack that affects the brain
2. BA type of migraine with no link to stroke
3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
4. DA stroke that leaves permanent weakness or paralysis on one side of the body

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. AA little bleeding when cleaned
2. BDark purple or black
3. CMoist and pink-red
4. DSlightly swollen

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AEnsure constant observation and remove anything he could use to harm himself
2. BAsk him to promise he will not harm himself
3. CArrange a psychiatry appointment for next week
4. DReassure him that things usually look better in the morning after some sleep

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

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

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AAn allergic reaction to the anesthetic
2. BAdrenal crisis from steroid withdrawal
3. CFluid overload from too much IV fluid
4. DNormal tiredness after anesthesia

Which patient needs airborne precautions rather than droplet precautions?

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