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

Trong hệ thống phân loại ba mức, người bệnh bị trật mắt cá chân, dấu hiệu sinh tồn bình thường và đau nhẹ thường được phân loại là:

1. AKhông khẩn (non-urgent)
2. BCấp cứu (emergent)
3. CChờ đợi (expectant)
4. DKhẩn (urgent)

Quy tắc ưu tiên chung nào là đúng?

1. AVấn đề tâm lý luôn đứng trước vấn đề thể chất
2. BVấn đề tại chỗ thường đứng trước vấn đề toàn thân
3. CVấn đề dễ giải quyết luôn đứng đầu
4. DVấn đề toàn thân thường đứng trước vấn đề tại chỗ

A nurse cannot read part of a medication order. What should the nurse do?

1. AGive the usual dose of the drug the nurse thinks was meant
2. BAsk another nurse to guess what the order most likely says, then give it
3. CSkip the drug and not tell anyone until the next ward round
4. DContact the prescriber to clarify the order before giving the drug

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“I will carry the tablets with me when I go out.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“If the pain has not eased as my action plan says, I will call emergency services.”

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BTell the patient this is a common, harmless effect
3. CGive the next dose of lisinopril with water
4. DAssess the airway and call for urgent help

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
2. BNo special precautions are needed if the wound is covered with a dressing
3. COnly wear gloves when touching the wound itself; skin and bedding are safe
4. DWear a respirator mask in the room, because MRSA in a wound spreads through the air to others

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose and give the insulin according to the sliding scale.”
2. B“Help him wash and change, and tell me at once if you see any red or broken skin.”
3. C“Check his glucose before lunch and tell me the number straight away.”
4. D“Walk him to the bathroom and back, and stay with him the whole time.”