उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

Which statement about pulse oximetry is correct?

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

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

What does the START in START triage stand for?

1. ASimple Triage And Rapid Treatment
2. BSystematic Transfer And Rapid Transport
3. CStaged Triage And Resuscitation Team
4. DStandard Treatment And Referral Tool

Which patient on an addiction unit should the nurse see first?

1. ALast drink one week ago; asking about support groups
2. BLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
3. CIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
4. DLast drink this morning; asking when lunch will arrive

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BCheck the tubing for kinks or obstruction
3. CGive a prescribed diuretic straight away
4. DRemove the catheter and wait for the patient to void

थायरॉइड सर्जरी के चार घंटे बाद, नर्स को रोगी के किस निष्कर्ष पर सबसे पहले कार्रवाई करनी चाहिए?

1. Aआवाज़ का और अधिक कर्कश होना, शोर वाली नई साँस के साथ
2. Bचीरे पर 4/10 का दर्द
3. Cपानी पीने के लिए बैठने का अनुरोध
4. Dगर्दन की पट्टी पर थोड़ा सीरस स्राव दिखना

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AMeasuring the vital signs and weights of every patient on the unit before breakfast
2. BGiving a scheduled subcutaneous anticoagulant injection to a stable patient
3. CAssessing a patient who returned from surgery 30 minutes ago
4. DWriting the discharge teaching plan for a patient with new diabetes

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APull hard on the baby’s head and neck to free the trapped shoulders quickly
2. BPush firmly on the top of the uterus (fundal pressure)
3. CAsk the mother to stop pushing and wait an hour
4. DHelp with the McRoberts position and give suprapubic pressure as directed