ورقة عمل تحديد الأولويات والتفويض مع الإجابات

What does a root cause analysis look for after a serious event?

1. AThe single staff member who should be blamed
2. BWhich patient made the complaint
3. CThe underlying system causes of the event
4. DHow much the event cost the hospital

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe charge nurse or nursing supervisor
2. BThe pharmacy technician on duty that day
3. CThe hospital’s chief executive
4. DThe patient’s next of kin

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A2 mg/dL
2. B70 mg/dL
3. C45 mg/dL
4. D15 mg/dL

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AReport it at once, because cultures and antibiotics are needed quickly
2. BDocument the reading and mention it at the next handover
3. CGive a cool shower and offer extra fluids, then wait and see what happens
4. DRecheck the temperature in four hours before telling anyone

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
3. CLast drink one week ago; asking about support groups
4. DLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BIncreased appetite and thirst
3. CA rise in blood pressure with flushed cheeks
4. DA sudden rise in pain scores

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. ARight shoulder pain from the gas used during surgery
2. BA heart rate of 125/min with a falling blood pressure
3. CYellow skin with dark urine on the second day
4. DIncreasing abdominal pain with a temperature of 39 °C

مريض بعد جراحة كبرى إدراره للبول 15 mL/h لمدة ساعتين ومعدل نبضه 115/min ويداه باردتان. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aتقييم علامات الصدمة، مثل النزف، والتصعيد
2. Bغسل القسطرة وإعادة فحص الإدرار صباح الغد
3. Cتشجيع المريض على شرب مزيد من الماء وإعادة الفحص لاحقًا
4. Dالانتظار ساعتين أخريين لمعرفة هل سيتحسن الإدرار