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

Before giving a medication, how many patient identifiers should the nurse check?

1. ANone, if the nurse already knows the patient well
2. BOne, the room number
3. CAt least two, such as name and date of birth
4. DOne, the bed number

Which finding meets the usual definition of orthostatic hypotension?

1. ASystolic pressure falls by 20 mmHg or more within 3 minutes of standing
2. BHeart rate falls by 5/min after lying down
3. CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
4. DBlood pressure is the same lying and standing

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

1. AThe Braden Scale
2. BThe APGAR score
3. CJumpSTART
4. DThe Glasgow Coma Scale

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AMild bruising around the fracture site on the second day
2. BItching under the cast during the first week after it was applied
3. CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
4. DPain out of proportion to the injury that worsens when the toes are stretched

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. AMoist and pink-red
2. BA little bleeding when cleaned
3. CSlightly swollen
4. DDark purple or black

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will keep my INR blood test appointments.”
2. B“I will use a soft toothbrush.”
3. C“If I miss a dose, I will take two the next day.”
4. D“I will tell my dentist and pharmacist that I take warfarin.”

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AAssessing a patient who returned from surgery 30 minutes ago
2. BMeasuring the vital signs and weights of every patient on the unit before breakfast
3. CWriting the discharge teaching plan for a patient with new diabetes
4. DGiving a scheduled subcutaneous anticoagulant injection to a stable patient

Một người bệnh mới mở khí quản đang ho, thở ồn và SpO₂ đã tụt xuống 86%. Hành động đầu tiên là gì?

1. AGhi lại SpO₂ và kiểm tra lại sau 30 phút
2. BHút ống mở khí quản
3. CThay dây buộc ống mở khí quản
4. DCho thuốc giãn phế quản khí dung