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

What is the usual adult reference range for serum potassium?

1. AAbout 1,5–2,5 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 135–145 mEq/L

In the AVPU scale, what does the P mean?

1. APupils equal and reactive
2. BPulse present and regular
3. CResponds only to pain
4. DPain score below 5

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow ill the patient is and how much nursing care they need
2. BHow long the patient has been in the hospital since admission
3. CHow many visitors the patient is expected to have
4. DHow far the patient’s room is from the nurses’ station

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. BGive the next dose of lisinopril with water
3. CAssess the airway and call for urgent help
4. DTell the patient this is a common, harmless effect

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AAcetaminophen (paracetamol)
2. BMelatonin
3. CA warm milky drink
4. DDiphenhydramine

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

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

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AMyxedema coma
2. BA normal reaction to pain
3. COpioid withdrawal
4. DThyroid storm

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

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