Робочий аркуш «Пріоритезація та делегування» з відповідями

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BComplete an incident report before doing anything else
3. CAssess the patient for any effects of the error
4. DTell the nurse manager at the end of the shift

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow ill the patient is and how much nursing care they need
3. CHow many visitors the patient is expected to have
4. DHow far the patient’s room is from the nurses’ station

What is the main purpose of an incident report?

1. ATo replace the nurse’s notes in the patient’s record
2. BTo decide which staff member should be punished
3. CTo inform the patient’s insurance company
4. DTo improve safety by finding out why events happen

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BFlushed, warm skin and a slow heart rate
3. CTall, peaked T waves and muscle twitching
4. DMuscle weakness and U waves on the ECG

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AMeasuring and reporting vital signs at the times set by the nurse
2. BDeciding whether to stop the transfusion if the patient has chills
3. CStarting the transfusion once the blood arrives
4. DAssessing the patient for signs of a transfusion reaction

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BRelieve pressure on the area by changing position regularly
3. CMassage the area firmly to improve the blood flow to the skin
4. DKeep the patient lying on the back to protect the area

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe confused patient climbing out of bed
2. BWhichever patient’s room is closer to the station
3. CThe patient in pain after surgery
4. DThe patient whose call light went on first

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AAirborne precautions in a negative-pressure room for the whole of the hospital stay
2. BStandard precautions, because it does not usually spread from person to person
3. CDroplet precautions with a surgical mask for everyone who enters
4. DFull contact and droplet precautions for all staff and visitors on the unit