ورقة عمل تحديد الأولويات والتفويض مع الإجابات

In the ABC framework, which finding is mainly a breathing problem?

1. AHeart rate 150/min with a low blood pressure and cold skin
2. BShallow breaths with an SpO₂ of 85% on room air
3. CStridor caused by a swollen throat
4. DA blood glucose of 60 mg/dL (3,3 mmol/L)

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs no resources
2. BA high-risk situation, new confusion, or severe pain or distress
3. CA stable patient who needs one resource
4. DA patient who needs an immediate life-saving intervention to survive

أي حاجة لدى المريض تنتمي إلى مستوى الأمان في هرم مازلو؟

1. Aالحماية من السقوط
2. Bالأكسجين
3. Cالصداقة
4. Dاعتراف الآخرين

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. AA little bleeding when cleaned
2. BSlightly swollen
3. CDark purple or black
4. DMoist and pink-red

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient with stable cellulitis on scheduled IV antibiotics
3. CA patient with sepsis whose blood pressure is falling
4. DA patient on a continuous heparin infusion with rising aPTT values

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AAsk the patient’s 10-year-old child to translate
2. BSpeak loudly and slowly in English
3. CUse hand gestures and hope the patient understands
4. DUse a professional medical interpreter

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

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

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
2. BNo special precautions are needed if the wound is covered with a dressing
3. COnly wear gloves when touching the wound itself; skin and bedding are safe
4. DWear a respirator mask in the room, because MRSA in a wound spreads through the air to others