ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which hemoglobin result is low for an adult woman?

1. A7,8 g/dL (78 g/L)
2. B14,0 g/dL (140 g/L)
3. C13,2 g/dL (132 g/L)
4. D12,6 g/dL (126 g/L)

Which statement belongs in the Background part of an SBAR report?

1. A“I am calling about Mr Khan because his blood pressure has dropped.”
2. B“He was admitted three days ago with pneumonia and also has COPD.”
3. C“I think he may be developing sepsis.”
4. D“I would like you to see him within the next 15 minutes.”

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BDeciding whether a pressure injury has got worse since yesterday
3. CPlanning the patient’s skin care
4. DChoosing which wound dressing to use

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Leave the suctioning until the next shift arrives.”
2. B“Thank you, please suction him as needed and tell me how it went.”
3. C“Suctioning a new tracheostomy is my task; I will do it myself.”
4. D“Ask the patient’s family to do the suctioning today.”

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will try to hold my breath for a few seconds at the top.”
2. B“I will blow into it as hard and fast as I can.”
3. C“I will use it several times every hour while awake.”
4. D“I will breathe in slowly and deeply through the mouthpiece.”

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BDelirium, which needs the cause found quickly
3. CA personality change that is permanent and expected
4. DNormal aging that needs no action

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADecline, explain why and suggest who can safely do it
2. BDo it, because the provider gave the instruction
3. CAsk a nursing assistant to do it instead
4. DDo it just this once and promise the provider not to do it again

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AHydrochlorothiazide
2. BOmeprazole
3. CSpironolactone
4. DFurosemide