Werkblad Prioriteren en delegeren met antwoorden

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out immediately
3. CCarry it out only if the patient asks for it
4. DCarry it out within the next 24 hours

What does the Braden Scale measure?

1. AThe risk of falling during a hospital stay
2. BThe risk of developing a pressure injury
3. CThe level of consciousness after a head injury
4. DThe severity of alcohol withdrawal symptoms

Which finding is expected in a patient with long-standing COPD?

1. AAn SpO₂ of 78%
2. BNew confusion
3. CSudden sharp chest pain
4. DA barrel-shaped chest

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BTell him the voices are not real and leave him alone
3. CAsk the roommate to stay in the room with him and help calm him down
4. DKeep everyone safe and tell the team, as the risk of harm is high

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ATwo hours after a colonoscopy: rigid abdomen and severe new pain
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CLong-standing back pain, asking for the usual analgesic
4. DUlcerative colitis, asking about diet changes for home

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. APush the cord back into the uterus
2. BWait for the next contraction before acting
3. CRelieve pressure on the cord by lifting the presenting part with a gloved hand
4. DAsk the patient to walk around the room to bring the baby lower and speed up labor

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. ADiabetic ketoacidosis
2. BHyperosmolar hyperglycemic state
3. CStress-induced mild hyperglycemia
4. DHypoglycemia with rebound

Tijdens START-triage ademt een niet-lopende volwassene 28 keer per minuut, heeft geen radialispols en een capillaire refill van 4 seconden. Welke categorie krijgt het slachtoffer?

1. ARood (onmiddellijk)
2. BGeel (uitgesteld), omdat de ademhalingsfrequentie onder 30/min ligt
3. CGroen (licht)
4. DZwart (afwachtend)