FREE Prioritization, Delegation, and Assignment Questions and Answers

Question 1

A 16-year-old cystic fibrosis adolescent is admitted with worsening breathlessness and potential pneumonia. Which nursing task must be included in the patient's care the most?

Accepted Answer

Perform postural drainage and chest physiotherapy every 4 hours.

Answer

Allow the patient to decide whether she needs aerosolized medications.

Answer

Place the patient in a private room to decrease the risk of further infection.

Answer

Plan activities to allow at least 8 hours of uninterrupted sleep.

Question 2

Despite using a non-rebreather mask to deliver oxygen to a patient with acute respiratory distress syndrome (ARDS), arterial blood gas readings still indicate low oxygenation. You would anticipate a doctor's order for what action as the nurse in charge of this patient's care, wouldn't you?

Accepted Answer

Perform endotracheal intubation and initiate mechanical ventilation.

Answer

Administer furosemide (Lasix) 100 mg IV push stat.

Answer

Call a code for respiratory arrest.

Answer

Immediately begin continuous positive airway pressure (CPAP) via the patient's nose and mouth.

Question 3

A patient suffering from chronic obstructive pulmonary disease (COPD). Which airway management procedure should a nursing assistant handle?

Accepted Answer

Assisting the patient to sit up on the side of the bed.

Answer

Auscultation of breath sounds every 4 hours.

Answer

Instructing the patient to cough effectively.

Answer

Teaching the patient to use incentive spirometry.

Question 4

A nursing diagnostic of sleep deprivation due to a disrupted sleep cycle is given to a patient with sleep apnea. Which task ought to you assign the nursing assistant?

Accepted Answer

Remind the patient to sleep on his side instead of his back.

Answer

Administer modafinil (Provigil) to promote daytime wakefulness.

Answer

Discuss weight-loss strategies such as diet and exercise with the patient.

Answer

Teach the patient how to set up the BiPAP machine before sleeping.

Question 5

The nursing assistant takes the patient's vital signs after the respiratory therapist suctions an intubated patient. Which vital sign value needs to be reported right away to the licensed nurse by the nursing assistant?

Accepted Answer

Tympanic temperature of 101.4ºF (38.6ºC)

Answer

Blood pressure of 168/90 mm Hg

Answer

Heart rate of 98 beats/min

Answer

Respiratory rate of 24 breaths/min

Question 6

The ventilator of a patient sounds the high-pressure alarm. The oxygen saturation meter in the patient's room indicates 87% when you walk in to evaluate the ARDS patient, who is also having trouble sitting up. Which move ought to you make next?

Accepted Answer

Manually ventilate the patient while assessing possible reasons for the high-pressure alarm.

Answer

Insert an oral airway to prevent the patient from biting on the endotracheal tube.

Answer

Reassure the patient that the ventilator will do the work of breathing for him.

Answer

Increase the fraction of inspired oxygen on the ventilator to 100% in preparation for endotracheal suctioning.

Question 7

A patient who is getting oxygen through a nasal cannula at a flow rate of 6 L/min complains of nasal passage irritation, the nursing assistant informs you. What course of action might you recommend to enhance the patient's comfort in light of this issue?

Accepted Answer

Suggest that the patient's oxygen be humidified.

Answer

Suggest that the patient be provided with an extra pillow.

Answer

Suggest that the patient sit up in a chair at the bedside.

Answer

Suggest that a simple face mask be used instead of a nasal cannula.