Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı
Ücretsiz yazdırılabilir Önceliklendirme ve yetki devri çalışma kâğıdı: kolaydan sınav düzeyine 8 soru ve cevap anahtarı. Yazdırın ya da PDF olarak kaydedin.
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Ad: ____________________ Tarih: ____________
1.Kolay
Which finding in an infant is a sign of breathing difficulty?
APink, warm hands and feet
BWet diapers every few hours
CNasal flaring
DA strong cry
2.Kolay
Which adult blood glucose result needs treatment straight away?
A110 mg/dL (6,1 mmol/L) after a snack
B52 mg/dL (2,9 mmol/L) with sweating and shakiness
C98 mg/dL (5,4 mmol/L) before breakfast
D130 mg/dL (7,2 mmol/L) two hours after a large lunch
3.Kolay
To which patients do standard precautions apply?
AOnly patients with an open wound
BOnly patients with a confirmed infection on a lab test
CAll patients, whether or not an infection is known
DOnly patients in intensive care
4.Orta
A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?
AApply a soothing cream to the rash
BAdvise the family to see their doctor next week
CTreat it as an emergency and escalate at once
DGive acetaminophen (paracetamol) and reassess in four hours
5.Orta
A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?
ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
BStand very close to him and tell him firmly and loudly to sit down and be quiet
CTurn away and ignore the behavior
DApply physical restraints at once
6.Orta
Which patient with diabetes should the nurse see first?
AGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
BGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
CHbA1c result of 8,2%, asking about diet
DNeeds foot care teaching before discharge tomorrow
7.Zor
Which patient is the most appropriate to assign to an LPN/LVN?
AA patient with a tracheostomy placed this morning who is coughing up blood
BA patient who has just arrived from the emergency department with pneumonia and confusion
CA patient on a new IV medication that needs frequent titration
DA patient with a long-standing tracheostomy who needs routine suctioning and care
8.Zor
A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?
AAn anxiety attack
BNeuroleptic malignant syndrome
COpioid withdrawal
DSerotonin syndrome
Cevap anahtarı
1. C · Nasal flaring
2. B · 52 mg/dL (2,9 mmol/L) with sweating and shakiness
3. C · All patients, whether or not an infection is known
4. C · Treat it as an emergency and escalate at once
5. A · Speak calmly, keep a safe distance and invite him to talk about what is wrong
6. B · Glucose 48 mg/dL (2,7 mmol/L), sweating and confused
7. D · A patient with a long-standing tracheostomy who needs routine suctioning and care
8. D · Serotonin syndrome
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