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

For people with cystic fibrosis, airway clearance procedures are essential and should come first. Mucus dehydrates as a result of the Cystic Fibrosis Transmembrane Conductance Regulator deficiency. In cystic fibrosis, the secretions are typically thick, gooey, and more challenging to remove. Both the treatment of acute exacerbations and the maintenance of health in cystic fibrosis depend heavily on frequent airway clearance.

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

A non-rebreather mask can provide almost all of the oxygen needed. Refractory hypoxemia is observed when the patient's oxygenation status does not significantly improve in response to the supply of oxygen at this high dosage. The patient is typically exerting a lot of effort to breathe at this point and risking respiratory arrest unless medical professionals step in and administer intubation and mechanical ventilation to lessen the patient's labor of breathing.

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

The educational background and scope of practice of a nursing assistant include helping patients with positioning and activities of daily life. Under the direct supervision of the nurse, nonprofessional, unlicensed assistive nursing personnel may legally be assigned certain tasks and aspects of care, provided they are competent in those areas, such as assistance with transfers, range of motion, feeding, ambulation, and other tasks like making beds and assisting with bowel and bladder functions.

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

The nursing assistant can remind patients to perform tasks that are specified in their care plan and have already been taught to them by the nurse. The appropriate person must be given the appropriate tasks and responsibilities under the appropriate conditions. Following that, the nurse who assigned the tasks and jobs must interact with and supervise the person performing them. The nurse oversees the individual and judges whether or not the task was completed in a proper, suitable, safe, and competent manner.

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

The risk of infection for a patient undergoing mechanical breathing never goes away. Bypassing the body's natural air-filtering systems, the endotracheal tube gives bacteria and viruses a direct path to the lower respiratory system.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

FREE Prioritization, Delegation, and Assignment Questions and Answers