ورقة عمل تحديد الأولويات والتفويض مع الإجابات

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

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

Which serum sodium value is within the normal adult range?

1. A152 mEq/L (152 mmol/L)
2. B120 mEq/L (120 mmol/L)
3. C140 mEq/L (140 mmol/L)
4. D128 mEq/L (128 mmol/L)

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ATemperature below 36,5 °C on one reading
2. BHeart rate below 60/min
3. CBlood glucose above 100 mg/dL
4. DRespiratory rate of 22/min or more

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AApply a tight bandage over the site to reduce swelling
2. BFlush the cannula hard to clear the blockage
3. CStop the infusion and remove the cannula
4. DIncrease the infusion rate to overcome the resistance

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AApply a soothing cream to the rash
2. BAdvise the family to see their doctor next week
3. CGive acetaminophen (paracetamol) and reassess in four hours
4. DTreat it as an emergency and escalate at once

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. APlace the patient on a cardiac monitor
2. BEncourage foods high in potassium
3. CRecheck the level next week
4. DGive the patient’s scheduled potassium supplement

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AReport the LPN/LVN at the end of the month without saying anything now
2. BTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
3. CLet the LPN/LVN continue, since crushing makes the tablet easier to swallow
4. DStop the LPN/LVN and contact the prescriber or pharmacist about another form

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. ANo special precautions are needed if the wound is covered with a dressing
2. BWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
3. CWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
4. DOnly wear gloves when touching the wound itself; skin and bedding are safe