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. A9%
2. B18%
3. C36%
4. D1%

A medication error has just reached a patient. What is the nurse’s first action?

1. AAssess the patient for any effects of the error
2. BTell the nurse manager at the end of the shift
3. CCorrect the entry on the medication record
4. DComplete an incident report before doing anything else

What is the usual adult reference range for serum potassium?

1. AAbout 1,5–2,5 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 135–145 mEq/L

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

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

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CPlace a tongue depressor between the teeth
4. DGive a drink of water to help the patient wake

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AIncrease the infusion to prevent a seizure
2. BStop the magnesium infusion and call for help
3. CGive oral fluids to help clear the drug faster
4. DTurn the patient onto her back and recheck later

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A9
2. B11
3. C13
4. D7

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. ANaloxone
2. BAtropine
3. CFlumazenil
4. DDantrolene