ورقة عمل تحديد الأولويات والتفويض مع الإجابات

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BMinor, and can safely wait for several hours
3. CLife-threatening and needs care immediately
4. DAlready deceased on arrival

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow many visitors the patient is expected to have
2. BHow far the patient’s room is from the nurses’ station
3. CHow long the patient has been in the hospital since admission
4. DHow ill the patient is and how much nursing care they need

Who is responsible for developing the nursing plan of care?

1. AThe LPN/LVN alone
2. BThe ward clerk
3. CThe registered nurse
4. DThe nursing assistant

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BBlood glucose and weight
3. CApical pulse and blood pressure
4. DBowel sounds and urine color

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AMassage the uterus firmly for ten minutes
2. BHelp the patient empty her bladder
3. CAsk the patient to lie still for another hour
4. DGive a dose of oxytocin straight away

يرفض مساعد تمريض مهمة مفوَّضة قائلًا إنه لم يُدرَّب عليها. ما أفضل استجابة من الممرضة؟

1. Aشكر المساعد، والتأكد من إنجاز المهمة بأمان، وترتيب التدريب
2. Bإبلاغ المديرة عن المساعد لرفضه مهمة
3. Cإخبار المساعد بأنها في الوصف الوظيفي ويجب إنجازها
4. Dترك المهمة للوردية التالية، حين يكون شخص مدرَّب مناوبًا

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe suspected tension pneumothorax
2. BThe pain from the fracture
3. CThe risk of wound infection
4. DThe open fracture of the leg

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ALoss of consciousness with gasping breaths
2. BA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
3. CRestlessness and a rising heart rate while the blood pressure is still normal
4. DA very low blood pressure with fixed, dilated pupils