Робочий аркуш «Пріоритезація та делегування» з відповідями

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AReinforcing teaching already given
2. BMeasuring vital signs
3. CGiving an IV push medication
4. DGiving scheduled oral medications

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A45 mg/dL
2. B2 mg/dL
3. C70 mg/dL
4. D15 mg/dL

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AA planned admission to intensive care
2. BA routine handover between shifts
3. CAn unexpected event that causes death or serious harm
4. DA minor error that was noticed but caused no harm at all

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

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

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I add extra salt to my food so it tastes better.”
2. B“I will call if my weight goes up quickly over a day or two.”
3. C“I will take my water tablet in the morning.”
4. D“I will weigh myself every morning after I use the toilet.”

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

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

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. ACooler, paler skin on the arms and legs
2. BA heart rate that keeps rising after each bag of fluid
3. CUrine output at least 0,5 mL/kg/h and clearer thinking
4. DNew crackles at both lung bases

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. ACheck the blood potassium level before any shock is considered
2. BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
3. CDefibrillate as soon as the defibrillator is available, with CPR until then
4. DGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes