Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BAirway, blood glucose and pupils
3. CRespirations, perfusion and mental status
4. DPulse, blood pressure and body temperature

Which task should the registered nurse not delegate to a nursing assistant?

1. AGiving a bed bath to a stable patient
2. BMaking an occupied bed
3. CWalking a stable patient up and down the corridor after lunch
4. DEvaluating whether the patient understood discharge teaching

Which medication is the first-line treatment for anaphylaxis?

1. AAn inhaled corticosteroid
2. BAn oral antihistamine
3. COral paracetamol (acetaminophen)
4. DIntramuscular epinephrine

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

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AMeet both of them privately to hear each side
2. BReport them to human resources at once
3. CIgnore it and hope they sort it out
4. DChange both of their assignments without any discussion

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

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

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ARaise the arm on a pillow and check again in two hours
2. BDocument the finding and continue with the medication round
3. CLoosen the restraint and assess the circulation
4. DTighten the restraint so the patient moves less

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. ADefibrillate as soon as the defibrillator is available, with CPR until then
2. BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
3. CCheck the blood potassium level before any shock is considered
4. DGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes