ورقة عمل تحديد الأولويات والتفويض مع الإجابات

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B97%
3. C89%
4. D96%

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that is needed only for research
3. CA result that may be life-threatening and must be reported at once
4. DA result that the patient has asked to see

Which white blood cell count suggests an infection or inflammation?

1. A7,000/mm³ (7 × 10⁹/L)
2. B8,200/mm³ (8,2 × 10⁹/L)
3. C18,000/mm³ (18 × 10⁹/L)
4. D6,500/mm³ (6,5 × 10⁹/L)

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AEncourage the patient to walk to improve the circulation
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CMassage the patient’s calves to ease any muscle cramp
4. DRaise the head of the bed, give oxygen and call for urgent help

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with stable cellulitis on scheduled IV antibiotics
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with sepsis whose blood pressure is falling
4. DA patient with a new tracheostomy who needs frequent suctioning

تفوّض ممرضة قياس العلامات الحيوية الروتيني إلى مساعد تمريض لمريض ينخفض ضغط دمه منذ ساعة. أي حق من حقوق التفويض لم يُستوفَ؟

1. Aالظرف الصحيح
2. Bالمهمة الصحيحة، لأن العلامات الحيوية لا يمكن تفويضها أبدًا
3. Cالشخص الصحيح
4. Dالتوجيهات والتواصل الصحيحان

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

1. AStop the LPN/LVN and contact the prescriber or pharmacist about another form
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. DReport the LPN/LVN at the end of the month without saying anything now

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV calcium gluconate
2. BIV furosemide
3. COral sodium bicarbonate
4. DOral potassium binder