Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

To which patients do standard precautions apply?

1. AAll patients, whether or not an infection is known
2. BOnly patients with an open wound
3. COnly patients with a confirmed infection on a lab test
4. DOnly patients in intensive care

Öncelik belirlemede “beklenen” bir bulgu şudur:

1. AHastanın bilinen durumuna veya tedavisine uyan bulgu
2. BHasta veya aile tarafından tahmin edilmiş bulgu
3. CHer zaman normal yetişkin referans aralığı içinde olan bulgu
4. DHer zaman hızlı müdahale ekibine acil çağrı gerektiren bulgu

Which resting heart rate is normal for a newborn?

1. A210/min
2. B60/min
3. C80/min
4. D140/min

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AA new bowel infection that has caused the diarrhea
2. BFecal impaction with liquid stool passing around it
3. CThe constipation has fully resolved
4. DA side effect of drinking too much water

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient on a continuous heparin infusion with rising aPTT values
2. BA patient with stable cellulitis on scheduled IV antibiotics
3. CA patient with a new tracheostomy who needs frequent suctioning
4. DA patient with sepsis whose blood pressure is falling

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ATurn the patient onto their side
2. BGive a drink of water
3. CGive an oral anti-sickness tablet
4. DRaise the legs above the heart

Hangi hastanın bulgusu en acildir?

1. ATrombosit sayısı sonucu bekleyen hasta
2. BDiz ameliyatından sonra enjeksiyon yerinde küçük bir çürüğü olan hasta
3. CHeparin infüzyonu alan ve yeni konfüzyonu ile şiddetli baş ağrısı olan hasta
4. DINR’si 2,5 olan ve olağan akşam dozu zamanı gelen varfarin kullanan hasta

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AAsk the mother to stop pushing and wait an hour
2. BPush firmly on the top of the uterus (fundal pressure)
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly