Phiếu bài tập Ưu tiên và ủy thác công việc có đáp án

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

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

Which patient usually fits ESI level 5?

1. AAn adult with chest pain suggesting a heart attack
2. BA stable adult who needs blood tests and an X-ray of the chest
3. CA stable adult who only needs a repeat prescription
4. DAn adult in cardiac arrest

Which adult blood glucose result needs treatment straight away?

1. A98 mg/dL (5,4 mmol/L) before breakfast
2. B130 mg/dL (7,2 mmol/L) two hours after a large lunch
3. C110 mg/dL (6,1 mmol/L) after a snack
4. D52 mg/dL (2,9 mmol/L) with sweating and shakiness

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. BRelieve pressure on the area by changing position regularly
3. CApply a heat pad to the area to increase circulation
4. DMassage the area firmly to improve the blood flow to the skin

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AGive a cough suppressant so that the incision is not strained
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CKeep the patient lying flat in bed to rest the incision fully
4. DEncourage deep breathing, coughing and use of the incentive spirometer

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. APush the cord back into the uterus
2. BAsk the patient to walk around the room to bring the baby lower and speed up labor
3. CWait for the next contraction before acting
4. DRelieve pressure on the cord by lifting the presenting part with a gloved hand

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn older adult with weakness on one side that began 40 minutes ago
2. BAn adult with kidney stone pain of 9/10 and stable vital signs
3. CA young adult with a swollen, painful ankle after a fall on the stairs
4. DA child with a temperature of 39 °C who is alert and drinking

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 5
2. BLevel 2
3. CLevel 1
4. DLevel 4