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

Nhu cầu nào của người bệnh thuộc bậc an toàn trong tháp Maslow?

1. ABảo vệ khỏi té ngã
2. BTình bạn
3. CSự công nhận từ người khác
4. DOxy

Which serum lithium level suggests toxicity?

1. A1,0 mEq/L
2. B2,2 mEq/L
3. C0,7 mEq/L
4. D0,8 mEq/L

Which triage method is designed for children in mass-casualty incidents?

1. AThe APGAR score
2. BThe Glasgow Coma Scale
3. CThe Braden Scale
4. DJumpSTART

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will try to hold my breath for a few seconds at the top.”
2. B“I will blow into it as hard and fast as I can.”
3. C“I will breathe in slowly and deeply through the mouthpiece.”
4. D“I will use it several times every hour while awake.”

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

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

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

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AEncourage the patient to walk to ease the back pain
2. BPalpate the mass firmly to check its size and spread
3. CCall for emergency help at once and prepare for urgent surgery
4. DGive an oral analgesic and reassess the patient in about one hour

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

1. AThat the child can walk without help
2. BThat the child is hungry
3. CThat the child’s temperature is normal
4. DThat the child is passing urine