Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What does the START in START triage stand for?

1. AStandard Treatment And Referral Tool
2. BSystematic Transfer And Rapid Transport
3. CSimple Triage And Rapid Treatment
4. DStaged Triage And Resuscitation Team

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 charge nurse or nursing supervisor
3. CThe pharmacy technician on duty that day
4. DThe patient’s next of kin

What does a “STAT” order mean?

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

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 3 after bowel surgery, wants a shower and hair wash before breakfast
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BChecking the tube’s position
3. CIrrigating the tube when it blocks
4. DGiving mouth care

Which patient is at the highest risk of falling?

1. AA 45-year-old with asthma who is alert and independent
2. BA 60-year-old admitted for chest pain that has since been ruled out by tests
3. CAn 84-year-old taking a diuretic who has fallen before and gets up at night
4. DA 30-year-old after an appendectomy who walks with steady steps

Pacjent uratowany z pożaru domu ma oparzenia twarzy, osmalone włosy w nosie i chrypkę. Co jest priorytetem?

1. AZabezpieczenie dróg oddechowych, przygotowanie do wczesnego wsparcia dróg oddechowych
2. BPodanie leczenia przeciwbólowego
3. COczyszczenie i opatrzenie oparzeń twarzy
4. DRozpoczęcie przetaczania płynów dożylnych obliczonych na podstawie rozległości oparzenia

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BAn ordinary pain crisis that will improve with rest
3. CAnxiety that will settle with reassurance
4. DA minor chest infection that can safely wait until the morning round