ورقة عمل تحديد الأولويات والتفويض مع الإجابات

في فرز الإصابات الجماعية، أي فئة تحددها البطاقة الخضراء عادةً؟

1. Aإصابات طفيفة: "الجرحى القادرون على المشي"
2. Bفوري: يحتاج إلى علاج في الحال
3. Cمتوفى أو متوقَّع
4. Dمؤجَّل: إصابات خطيرة لكنها مستقرة حاليًا

أي مريض هو الأكثر استقرارًا؟

1. Aمريض بعد يومين من جراحة الركبة ألمه 3/10 وعلاماته الحيوية طبيعية
2. Bمريض أصيب بتشوش جديد
3. Cمريض بألم صدري جديد
4. Dمريض انخفض ضغط دمه من 132/80 إلى 90/56 mmHg

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BThe reading is always correct, whatever finger or hand is used
3. CIt shows the patient’s blood glucose
4. DIt measures the carbon dioxide in the blood

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DMetabolic acidosis

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BHold the dose and report so the white cell count can be checked
3. CIncrease the dose because the symptoms suggest a relapse
4. DAdvise the patient to gargle with warm salt water and rest in bed

Which practice makes a shift handover safest?

1. AA quick chat in the corridor with no notes taken
2. BHanding over only the patients who had problems during the shift
3. CLeaving a sticky note on the computer screen for the next nurse
4. DA structured format, such as SBAR, with time for questions

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AInfants of this age often roll off furniture and break bones in this way
2. BNo further action is needed once the fracture is treated
3. CA spiral fracture in an infant is always caused by birth trauma
4. DThe injury does not fit the infant’s development, so possible abuse must be reported

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. APlace the child in a knee-to-chest position
2. BGive a large drink of water to calm the child
3. CLay the child flat on their back
4. DEncourage the child to keep crying to open the lungs