ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient whose weight is unchanged from yesterday
3. CA patient who would like tea instead of coffee
4. DA patient who wants to shower in the evening

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BGuidance, follow-up and evaluation of the delegated task by the nurse
3. CLeaving the delegate to finish without any contact
4. DDoing every delegated task yourself to make sure that it is done right

أي مما يلي حاجة فيزيولوجية في هرم مازلو؟

1. Aالشعور بالأمان في البيت
2. Bالشعور بأنك جزء من أسرة
3. Cالتخلص من البول والبراز
4. Dأن يحترمك الآخرون

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

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AGive an antipyretic and continue the transfusion
2. BSlow the transfusion and recheck in an hour
3. CFinish the unit quickly through a pressure bag so that the reaction does not last long
4. DStop the transfusion and keep the IV open with normal saline via new tubing

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BJaw thrust, keeping the head and neck in line
3. CHead-tilt, chin-lift with full neck extension
4. DTurning the head to the side to drain water

Which patient finding after a total knee replacement needs the nurse’s action first?

1. ASudden calf pain and swelling in the operated leg, with new breathlessness
2. BPain of 4/10 when the physiotherapist bends the knee during the morning session
3. CAsks for an ice pack to help with swelling around the knee
4. DA small amount of dried blood on the dressing

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient with a long-standing tracheostomy who needs routine suctioning and care
2. BA patient on a new IV medication that needs frequent titration
3. CA patient with a tracheostomy placed this morning who is coughing up blood
4. DA patient who has just arrived from the emergency department with pneumonia and confusion