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

Which body temperature is a fever in an adult?

1. A36,8 °C
2. B38,5 °C
3. C37,1 °C
4. D36,4 °C

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Glasgow Coma Scale
3. CThe Morse Fall Scale
4. DThe Braden Scale

In which situation can a pulse oximeter give a falsely normal reading?

1. AA warm, well-perfused finger
2. BA healthy adult at rest
3. CCarbon monoxide poisoning
4. DA patient breathing room air normally

Which infant with gastroenteritis should the nurse see first?

1. ALethargic, sunken fontanel, no wet diaper for 8 hours
2. BTwo loose stools today, feeding well
3. CMild diaper rash, otherwise playful
4. DAlert, crying with tears, had a wet diaper an hour ago

Which patient is at the highest risk of falling?

1. AAn 84-year-old taking a diuretic who has fallen before and gets up at night
2. BA 45-year-old with asthma who is alert and independent
3. CA 30-year-old after an appendectomy who walks with steady steps
4. DA 60-year-old admitted for chest pain that has since been ruled out by tests

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AApply wrist restraints for the rest of the night
2. BGive a sedative from the as-needed list without first assessing the patient
3. CRaise all four bed rails so the patient cannot climb out
4. DCheck for pain, thirst or a full bladder, and offer toileting

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AReassure her that this is normal “baby blues”
2. BLeave her alone with the baby to bond
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DKeep the mother and baby safe and arrange urgent psychiatric care

Four laboratory results come back at once. Which one should the nurse report first?

1. AHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
2. BPotassium 3,4 mEq/L in a patient on a diuretic
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DCreatinine 1,3 mg/dL in an older adult, unchanged from last week