Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B89%
3. C96%
4. D97%

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BIt measures the carbon dioxide in the blood
3. CIt shows the patient’s blood glucose
4. DThe reading is always correct, whatever finger or hand is used

Which drug reverses the anticoagulant effect of heparin?

1. AProtamine sulfate
2. BVitamin K
3. CAtropine
4. DNaloxone

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“The pump has limits set by the nurse so she cannot get too much at once.”
2. B“I will tell the nurse if she becomes very sleepy or hard to wake.”
3. C“Only she should press the button when she needs pain relief.”
4. D“I will press the button for her while she is asleep so she stays comfortable.”

Bir hemşire yardımcısına verilen hangi yönerge en açıktır?

1. A“Bay Lee’nin yaşam bulgularını öğleden önce bir ara yap ve benim için dosyaya yaz.”
2. B“Bu sabah Bay Lee’ye göz kulak ol ve nasıl olduğunu bana bildir.”
3. C“Odasındayken Bay Lee’de bir şey ters görünürse bana haber ver.”
4. D“Bay Lee’nin kan basıncını saat 10:00’da ölç ve sistolik 100’ün altındaysa hemen bana söyle.”

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BLeave it because the patient is asleep
3. CLower the bed now and remind the assistant why it matters
4. DWrite it in the assistant’s yearly review only

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
2. BNo special precautions are needed if the wound is covered with a dressing
3. CWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
4. DOnly wear gloves when touching the wound itself; skin and bedding are safe

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AAsk a nursing assistant to watch the patients until someone comes
2. BStay and tell the charge nurse, and hand over before leaving
3. CLeave a written note at the station and go home
4. DLeave on time, because the shift has officially ended