ورقة عمل تحديد الأولويات والتفويض مع الإجابات

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BPupils equal and reactive
3. CPulse present and regular
4. DResponds only to pain

What is the CIWA scale used to assess?

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

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

1. A89%
2. B96%
3. C97%
4. D99%

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BWants help with washing her hair before her visitors arrive this afternoon
3. CPain of 4/10 one hour after an oral analgesic
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

أثناء فرز START، بالغ لا يستطيع المشي يتنفس 36 مرة في الدقيقة. أي فئة يُعطاها؟

1. Aأحمر (فوري)
2. Bأصفر (مؤجَّل)
3. Cأخضر (طفيف)
4. Dأسود (متوقَّع)

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe out slowly through pursed lips.”
2. B“I will breathe in through my mouth and out quickly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe in slowly through my nose.”

At 08:00 a nurse has four tasks. Which order is best?

1. AGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
2. BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
3. CGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
4. DUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂

أي مهمة هي الأنسب لأن تؤديها الممرضة المسجلة بنفسها بدلًا من تفويضها إلى مساعد تمريض؟

1. Aاصطحاب مريض مستقر في نزهة بالممر في اليوم الثالث بعد الجراحة
2. Bمساعدة مريض في العناية بالفم
3. Cوزن مريض قصور القلب كل صباح
4. Dإخراج مريض من السرير للمرة الأولى بعد الجراحة