ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which statement about the nursing process is correct when setting priorities?

1. AImplementation comes first, so care starts quickly
2. BPlanning comes first, before seeing the patient
3. CEvaluation comes first, before any patient data have been collected
4. DAssessment comes first, because the other steps depend on it

In which situation can a pulse oximeter give a falsely normal reading?

1. AA patient breathing room air normally
2. BA healthy adult at rest
3. CA warm, well-perfused finger
4. DCarbon monoxide poisoning

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

1. ALife-threatening and needs care immediately
2. BAlready deceased on arrival
3. CSerious but stable for now, and needs care soon
4. DMinor, and can safely wait for several hours

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AThoughts of suicide or self-harm
2. BHair growth and skin color
3. CWeight loss from too much appetite
4. DRising blood glucose levels

Which infant with gastroenteritis should the nurse see first?

1. ATwo loose stools today, feeding well
2. BAlert, crying with tears, had a wet diaper an hour ago
3. CMild diaper rash, otherwise playful
4. DLethargic, sunken fontanel, no wet diaper for 8 hours

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AGiving mouth care
2. BIrrigating the tube when it blocks
3. CAssessing the drainage for blood
4. DChecking the tube’s position

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AA tear in the birth canal or cervix
2. BA full bladder pushing the uterus aside
3. CUterine atony that needs more massage
4. DNormal lochia for the first hour

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. ABlack (expectant)
2. BRed (immediate)
3. CGreen (minor)
4. DYellow (delayed)