Werkblad Prioriteren en delegeren met antwoorden

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe patient’s next of kin
3. CThe charge nurse or nursing supervisor
4. DThe pharmacy technician on duty that day

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

In the ABC framework, which finding is mainly a breathing problem?

1. AShallow breaths with an SpO₂ of 85% on room air
2. BHeart rate 150/min with a low blood pressure and cold skin
3. CStridor caused by a swollen throat
4. DA blood glucose of 60 mg/dL (3,3 mmol/L)

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BDo not measure blood pressure on the left arm
3. CMeasure blood pressure on the left arm only, every 4 hours
4. DHelp the patient carry shopping bags on the left arm

Which newborn finding needs prompt reporting?

1. AMilia (small white spots) on the nose
2. BMild jaundice that first appears on the third day
3. CJaundice that appears within the first 24 hours
4. DBluish hands and feet in the first hours

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him after lunch, fully dressed, with his shoes on.”
2. B“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
3. C“Weigh him at any time today, on whichever scale is free.”
4. D“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 5 because the pain is not severe
2. BVital signs never change the ESI level
3. CThe nurse should consider level 2 because of the danger-zone vital sign
4. DThe patient is level 4 because the blood tests and the scan count as one resource

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AGiving the breathless patient’s IV furosemide
2. BMorning vital signs on the four stable patients
3. CAssessing the breathless patient’s lung sounds
4. DExplaining the new diagnosis to the breathless patient’s family