ورقة عمل تحديد الأولويات والتفويض مع الإجابات

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CNo hand hygiene is needed if gloves were worn
4. DWash with soap and water

عندما يقدّم سؤال أولويات خيارًا من تقييم وخيارًا من إجراء، أيهما الصحيح عادةً أولًا حين لا يكون الوضع طارئًا؟

1. Aتقييم المريض لجمع مزيد من المعلومات
2. Bاستدعاء مقدّم الرعاية قبل رؤية المريض
3. Cتوثيق الاهتمام في السجل
4. Dمطالبة مساعد تمريض بالذهاب لفحص المريض

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BAn error that reached the patient and caused serious harm
3. CA planned treatment that did not work
4. DA complaint from a visitor

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. AFalling blood pressure, a fast pulse and warm, flushed dry skin
2. BLow temperature, fast breathing and a strong appetite
3. CRising systolic pressure, slow pulse and irregular breathing
4. DNormal blood pressure, normal pulse and clear speech

Which SBAR recommendation is the clearest?

1. A“I just wanted to let you know about him.”
2. B“He seems a bit off tonight, so maybe you could come up and do something about it.”
3. C“I would like you to see him within 15 minutes and consider a fluid bolus.”
4. D“I will keep watching him and call again tomorrow.”

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BAsk the patient to walk around the ward until the food arrives
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DTell the patient to wait and do nothing until the tray comes

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AHyperosmolar hyperglycemic state
2. BDiabetic ketoacidosis
3. CStress-induced mild hyperglycemia
4. DHypoglycemia with rebound

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ATighten the restraint so the patient moves less
2. BRaise the arm on a pillow and check again in two hours
3. CLoosen the restraint and assess the circulation
4. DDocument the finding and continue with the medication round