ورقة عمل تحديد الأولويات والتفويض مع الإجابات

في نظام فرز ثلاثي المستويات، أي مريض حالته طارئة؟

1. Aألم صدري مع تعرق وضيق نفس
2. Bألم بطني منذ يومين مع علامات حيوية طبيعية
3. Cطفح جلدي منذ ثلاثة أيام دون حمّى
4. Dطلب وصفة متكررة

Which phrase in a question usually signals a priority question?

1. A“Which bone is found in the forearm?”
2. B“Which term means inflammation of the liver?”
3. C“Which statement describes this drug’s class?”
4. D“Which action should the nurse take first?”

Which patient is unstable?

1. AA patient with a new irregular pulse who says they feel dizzy
2. BA patient with a healing leg wound and normal vital signs this morning
3. CA patient with long-standing arthritis pain of 3/10
4. DA patient waiting for a planned hip X-ray

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Increase the rate a little so the alarm clears.”
2. B“Silence the alarm and I will check it at the end of the shift.”
3. C“I will come and check the pump and the IV site now.”
4. D“Turn the pump off and on again until it stops.”

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ALong-standing back pain, asking for the usual analgesic
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CUlcerative colitis, asking about diet changes for home
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. APlace the patient on a cardiac monitor
2. BRecheck the level next week
3. CEncourage foods high in potassium
4. DGive the patient’s scheduled potassium supplement

مريض لديه فغر رغامي جديد يسعل ولديه تنفس صاخب وانخفض إشباع الأكسجين SpO₂ إلى 86%. ما الإجراء الأول؟

1. Aتوثيق SpO₂ وإعادة الفحص بعد 30 دقيقة
2. Bشفط الفغر الرغامي
3. Cإعطاء موسع قصبي بالنبذ
4. Dتغيير رباطات الفغر الرغامي

Which assignment by the charge nurse should be changed?

1. AAn LPN/LVN is assigned to admit a new patient from the emergency department
2. BAn RN is assigned to a patient receiving a blood transfusion
3. CA nursing assistant is assigned to help several stable patients with their meals
4. DAn LPN/LVN is assigned to give oral medications to stable patients