ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which capillary refill time is prolonged in an adult?

1. ALess than 1 second
2. B1 second
3. C4 seconds
4. D2 seconds

What is status epilepticus?

1. AA seizure lasting 5 minutes or more, or repeated seizures without recovery
2. BA single short seizure that stops on its own within a minute or two
3. CA seizure that happens only during sleep
4. DA faint caused by standing up too quickly

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe tissues are not getting enough oxygen
2. BThe patient has eaten recently
3. CThe kidneys are working harder than usual
4. DThe liver is making too much bile

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CBackache after a long walk
4. DA severe headache with blurred vision

أي تعليمة إلى مساعد التمريض هي الأوضح؟

1. A"راقب السيد لي هذا الصباح وأخبرني كيف حاله."
2. B"أخبرني إذا بدا أي شيء خاطئًا مع السيد لي وأنت عنده."
3. C"قس ضغط دم السيد لي عند الساعة 10:00 وأخبرني فورًا إذا كان الانقباضي أقل من 100."
4. D"أجرِ العلامات الحيوية للسيد لي في أي وقت قبل الغداء واكتبها لي في السجل."

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AGive IV sodium bicarbonate as soon as it can be found
2. BStay with the patient and coach slow, calm breathing
3. CEncourage the patient to breathe even faster
4. DGive oxygen at the highest flow and leave the room

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AThe patient is hyperventilating even more than before and needs calming
2. BRespiratory muscle fatigue with possible impending respiratory failure
3. CA laboratory error that should be ignored
4. DThe asthma is improving, because the PaCO₂ is now near normal

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AIndigestion that is best treated with an antacid and a glass of milk
2. BStable angina that will pass without treatment
3. CA possible myocardial infarction that needs urgent action
4. DMuscle strain that needs a warm compress