ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which type of stroke is the most common?

1. AHemorrhagic stroke
2. BSubarachnoid hemorrhage
3. CIschemic stroke
4. DVenous sinus thrombosis

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AHead-tilt, chin-lift
2. BJaw thrust without head tilt
3. CTurning the head sharply to one side
4. DRaising the legs above the heart

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AMeasuring vital signs
2. BGiving scheduled oral medications
3. CReinforcing teaching already given
4. DGiving an IV push medication

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will not use oil-based creams on my face.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will put up no-smoking signs at the front door and in my room.”
4. D“I will keep the oxygen away from the gas stove.”

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Increase the rate a little so the alarm clears.”
2. B“I will come and check the pump and the IV site now.”
3. C“Turn the pump off and on again until it stops.”
4. D“Silence the alarm and I will check it at the end of the shift.”

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AArrange a psychiatry appointment for next week
2. BAsk him to promise he will not harm himself
3. CReassure him that things usually look better in the morning after some sleep
4. DEnsure constant observation and remove anything he could use to harm himself

مريض بعد جراحة كبرى إدراره للبول 15 mL/h لمدة ساعتين ومعدل نبضه 115/min ويداه باردتان. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aالانتظار ساعتين أخريين لمعرفة هل سيتحسن الإدرار
2. Bغسل القسطرة وإعادة فحص الإدرار صباح الغد
3. Cتقييم علامات الصدمة، مثل النزف، والتصعيد
4. Dتشجيع المريض على شرب مزيد من الماء وإعادة الفحص لاحقًا

أي طفل ينبغي أن تراه الممرضة أولًا؟

1. Aطفل في سن المدرسة في ساقه جبيرة ويطلب شرابًا
2. Bطفل دارج حرارته 38,4 °C ويلعب بالألعاب
3. Cرضيع مصاب بالفيروس المخلوي التنفسي (RSV) لديه توسع في المنخرين وانسحاب في الصدر وإشباع أكسجين SpO₂ 89%
4. Dمراهق مصاب بالربو ذروة جريانه 90% من أفضل قيمة شخصية له