ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A1%
2. B18%
3. C36%
4. D9%

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo confirm the correct patient, procedure and site
2. BTo let the family say goodbye to the patient
3. CTo give the surgeon a short rest before the operation starts
4. DTo count the swabs at the end of the operation

في معظم الأوساط، من يجري فرز الوافدين الجدد في قسم الطوارئ؟

1. Aمساعد تمريض
2. Bممرضة عملية (LPN/LVN) دون مشاركة ممرضة مسجلة
3. Cممرضة مسجلة
4. Dكاتب الجناح

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AAsk the nursing assistant to reposition the patient
2. BTell the patient to wait until the next scheduled dose is due in two hours
3. CGive the strongest analgesic on the chart straight away
4. DAssess the location, character and onset of the pain and the vital signs

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DCheck for signs of low calcium and inform the provider

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with a temperature of 38,2 °C after vaccination
4. DA child with croup who has a barking cough but no stridor at rest

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AGiving a scheduled subcutaneous anticoagulant injection to a stable patient
2. BMeasuring the vital signs and weights of every patient on the unit before breakfast
3. CWriting the discharge teaching plan for a patient with new diabetes
4. DAssessing a patient who returned from surgery 30 minutes ago

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. AMetabolic acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DRespiratory acidosis