Робочий аркуш «Пріоритезація та делегування» з відповідями

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BUse an extinguisher on the fire
3. CRescue patients in immediate danger
4. DPull the fire alarm

Who is responsible for developing the nursing plan of care?

1. AThe LPN/LVN alone
2. BThe ward clerk
3. CThe registered nurse
4. DThe nursing assistant

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient is fully alert and oriented
3. CThe patient only has a mild headache
4. DThe patient can safely eat and drink without help

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. ARemove the tube and cover the site
2. BWait for the provider to arrive before doing anything else
3. CPlace the end of the tube in a bottle of sterile water
4. DClamp the tube for the rest of the shift

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ATurn the feed off only while the patient is asleep at night
2. BKeep the head of the bed raised to at least 30 degrees
3. CIncrease the feed rate so the stomach empties sooner
4. DLay the patient flat for an hour after each bag is hung

Before giving a medication to a child, which check is especially important?

1. AThat the dose is correct for the child’s weight
2. BThat the medicine cup is the child’s favorite color
3. CThat the parent agrees with the time it is given
4. DThat the child likes the taste of the drug

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AAirborne precautions
2. BContact precautions only
3. CDroplet precautions
4. DStandard precautions only

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BTell the patient she must leave home and go to live somewhere else
3. CEnsure the patient’s safety, document the findings and report as required
4. DIgnore it, because older people bruise easily