Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Hangi hasta en stabildir?

1. AYeni konfüze olan hasta
2. BKan basıncı 132/80'den 90/56 mmHg'ye düşen hasta
3. CDiz ameliyatından iki gün sonra ağrısı 3/10 olan ve yaşam bulguları normal olan hasta
4. DYeni göğüs ağrısı olan hasta

In the ABC framework, which finding is mainly a breathing problem?

1. AShallow breaths with an SpO₂ of 85% on room air
2. BStridor caused by a swollen throat
3. CHeart rate 150/min with a low blood pressure and cold skin
4. DA blood glucose of 60 mg/dL (3,3 mmol/L)

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AFear of slipping in the shower
2. BThirst after a long period of fasting before a test
3. CWorry about body image after a mastectomy
4. DMissing friends from home

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BKeep everyone safe and tell the team, as the risk of harm is high
3. CAsk the roommate to stay in the room with him and help calm him down
4. DIgnore the comment, because voices are part of his illness

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. APlacement is confirmed by an approved method
2. BThe tube is flushed with a large volume of water
3. CThe patient is asked if the tube feels comfortable
4. DThe feed is started slowly to see if the patient coughs

RN’nin bir LPN/LVN’ye devretmesi için hangi görev en uygundur?

1. AYeni bir hastanın yatış değerlendirmesini yapmak
2. Bİlk ünite eritrosit süspansiyonunu başlatmak
3. CStabil bir hastaya kalıcı idrar sondası takmak
4. DYeni insüline başlayan bir hastaya taburculuk eğitimi vermek

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose before lunch and tell me the number straight away.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Walk him to the bathroom and back, and stay with him the whole time.”
4. D“Help him wash and change, and tell me at once if you see any red or broken skin.”

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AA raised risk of suicide, because she may have made a decision
2. BA full recovery, so observation can be reduced
3. CA side effect of her antidepressant medicine that needs no special action
4. DThat she is getting ready for discharge as planned