Werkblad Prioriteren en delegeren met antwoorden

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AOnly the nurse manager
2. BNobody, once the task has been delegated
3. CThe patient receiving the care
4. DThe assistant who accepted the task

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BPlanning comes first, before seeing the patient
3. CImplementation comes first, so care starts quickly
4. DEvaluation comes first, before any patient data have been collected

Which protective equipment is needed for droplet precautions?

1. AGloves only, with no mask
2. BA lead apron and goggles
3. CA fitted N95 respirator at all times in the room
4. DA surgical mask when close to the patient

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ALay the patient flat with the legs raised
2. BApply extra blankets to keep the patient warm and calm
3. CGive a warm drink and recheck the blood pressure in an hour
4. DSit the patient upright with the legs lowered

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

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

Which patient is the best choice for the room closest to the nurses’ station?

1. AA confused older adult at high risk of falls
2. BA young adult waiting for discharge tomorrow
3. CA patient with stable diabetes who walks independently
4. DA patient admitted for a planned scan, feeling well

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BMild breathlessness with reduced breath sounds on one side of the chest only
3. CSharp chest pain that is worse on deep breathing
4. DA small air leak seen on a routine chest X-ray