ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which finding in an infant is a sign of breathing difficulty?

1. APink, warm hands and feet
2. BNasal flaring
3. CA strong cry
4. DWet diapers every few hours

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BGloves only, with no mask
3. CA lead apron and goggles
4. DA fitted N95 respirator at all times in the room

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C35–45 mmHg
4. D22–26 mmHg

Which patient with diabetes should the nurse see first?

1. ANeeds foot care teaching before discharge tomorrow
2. BGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
3. CHbA1c result of 8,2%, asking about diet
4. DGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BKeep everyone safe and tell the team, as the risk of harm is high
3. CAsk the roommate to stay in the room with him and help calm him down
4. DTell him the voices are not real and leave him alone

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse a professional medical interpreter
2. BAsk the patient’s 10-year-old child to translate
3. CSpeak loudly and slowly in English
4. DUse hand gestures and hope the patient understands

Four laboratory results come back at once. Which one should the nurse report first?

1. APotassium 3,4 mEq/L in a patient on a diuretic
2. BCreatinine 1,3 mg/dL in an older adult, unchanged from last week
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CA laboratory error that should be ignored
4. DThe patient is hyperventilating even more than before and needs calming