ورقة عمل تحديد الأولويات والتفويض مع الإجابات

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 may not be able to protect the airway
3. CThe patient can safely eat and drink without help
4. DThe patient is fully alert and oriented

What does the START in START triage stand for?

1. ASimple Triage And Rapid Treatment
2. BSystematic Transfer And Rapid Transport
3. CStaged Triage And Resuscitation Team
4. DStandard Treatment And Referral Tool

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe salary range that applies to each nursing role
3. CThe highest number of patients a nurse may care for during a single shift
4. DThe hospital areas where a nurse is allowed to work

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in slowly through my nose.”
2. B“I will breathe in through my mouth and out quickly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe out slowly through pursed lips.”

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. APlace a tongue depressor between the teeth
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CProtect the head and turn the patient on their side when possible
4. DGive a drink of water to help the patient wake

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AGive a sedative from the as-needed list without first assessing the patient
2. BRaise all four bed rails so the patient cannot climb out
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DApply wrist restraints for the rest of the night

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. ACover the eye with a dry patch and wait for the provider
2. BFlush the eye with plenty of water or saline straight away
3. CRub the eye gently with a clean tissue to remove the chemical
4. DGive antibiotic eye drops first

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BStart a series of aggressive tests to find the exact cause of the breathlessness
3. CLeave the patient alone so they can rest
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness