Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe patient has eaten recently
2. BThe tissues are not getting enough oxygen
3. CThe liver is making too much bile
4. DThe kidneys are working harder than usual

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BLife-threatening and needs care immediately
3. CAlready deceased on arrival
4. DSerious but stable for now, and needs care soon

Which term means being answerable for your own actions and their results?

1. AAccountability
2. BAuthority
3. CAssignment
4. DDelegation

Which patient with diabetes should the nurse see first?

1. ANeeds foot care teaching before discharge tomorrow
2. BGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
3. CHbA1c result of 8,2%, asking about diet
4. DGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic acidosis
2. BRespiratory acidosis
3. CMetabolic alkalosis
4. DRespiratory alkalosis

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AUrine output
2. BAirway patency and breathing
3. CThe surgical dressing and the drains
4. DThe pain score

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. AReport it at once, as it may mean the brain is being compressed
2. BDim the room lights so the pupil can get smaller
3. CRecheck it at the next routine observation in four hours
4. DDocument it, because pupils often differ slightly after a head injury

Bir LPN/LVN, stabil bir hastada yeni göğüs ağrısı olduğunu bildiriyor. RN ne yapmalıdır?

1. AHastayı bizzat değerlendirmeli ve sonraki adımlara karar vermelidir
2. BHemşire yardımcısından EKG çekmesini istemeli ve sonucu beklemelidir
3. CLPN/LVN’ye değerlendirme yapmadan gerektiğinde verilecek nitrogliserini vermesini söylemelidir
4. DLPN/LVN’den bunu halletmesini ve vardiya sonunda bildirmesini istemelidir