ورقة عمل تحديد الأولويات والتفويض مع الإجابات

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient only has a mild headache
3. CThe patient is fully alert and oriented
4. DThe patient may not be able to protect the airway

How many rights of delegation are commonly taught?

1. AFive
2. BThree
3. CSeven
4. DTen

What is the CIWA scale used to assess?

1. AThe severity of a newborn’s jaundice
2. BThe depth of a burn wound
3. CThe severity of alcohol withdrawal
4. DThe risk of a pressure injury

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BJaw thrust, keeping the head and neck in line
3. CTurning the head to the side to drain water
4. DHead-tilt, chin-lift with full neck extension

Which patient is at the highest risk of falling?

1. AA 30-year-old after an appendectomy who walks with steady steps
2. BAn 84-year-old taking a diuretic who has fallen before and gets up at night
3. CA 45-year-old with asthma who is alert and independent
4. DA 60-year-old admitted for chest pain that has since been ruled out by tests

أي مريض ينبغي أن تراه الممرضة أولًا بعد التسليم؟

1. Aمريض بالفصال العظمي يشكو من التيبس كل صباح
2. Bمريض يريد مساعدة في الاستحمام قبل وصول الزوار
3. Cمريض بجبيرة جديدة يقول إن القدم مخدّرة وأصابعها باردة
4. Dمريض على مدرّ للبول أخرج 400 mL من البول منذ الساعة 08:00

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Check his glucose before lunch and tell me the number straight away.”
4. D“Help him wash and change, and tell me at once if you see any red or broken skin.”

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AA small air leak seen on a routine chest X-ray
2. BSharp chest pain that is worse on deep breathing
3. CMild breathlessness with reduced breath sounds on one side of the chest only
4. DTrachea shifted away from the affected side, with low blood pressure