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

Which task is appropriate to delegate to a nursing assistant?

1. AAssessing a pressure injury on the sacrum
2. BFeeding a patient with newly diagnosed dysphagia after a stroke
3. CGiving a stable patient their oral medications
4. DFeeding a stable patient who has no swallowing problems

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly when the question is asked in writing
2. BOnly if the patient is over 65 years old
3. CNo; asking directly is safe and helps assess the risk
4. DYes; asking about it may give the patient the idea

What is the usual adult reference range for serum potassium?

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

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BIncrease the dose because the symptoms suggest a relapse
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DHold the dose and report so the white cell count can be checked

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BWait 15 minutes and recheck the glucose
3. CGive the scheduled dose of insulin
4. DPour orange juice into the patient’s mouth

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. ARecord the result and recheck the glucose at the usual time before the evening meal
2. BGive another serving of fast-acting carbohydrate and recheck in 15 minutes
3. CWait another hour, because juice can take a long time to work
4. DGive the next scheduled dose of rapid-acting insulin with the meal

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

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

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BAn ordinary pain crisis that will improve with rest
3. CA minor chest infection that can safely wait until the morning round
4. DAnxiety that will settle with reassurance