उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTime to call emergency services
3. CTongue movement
4. DTemperature

To which patients do standard precautions apply?

1. AAll patients, whether or not an infection is known
2. BOnly patients in intensive care
3. COnly patients with an open wound
4. DOnly patients with a confirmed infection on a lab test

Which strategy helps a nurse organize care at the start of a shift?

1. ARank the tasks by urgency after report and plan the time around them
2. BDo the tasks in strict order of room number, whatever their urgency
3. CWait until problems come up and then decide what to do
4. DDo the quickest tasks first so the list gets shorter

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AKeep the patient lying on the back to protect the area
2. BMassage the area firmly to improve the blood flow to the skin
3. CApply a heat pad to the area to increase circulation
4. DRelieve pressure on the area by changing position regularly

A patient taking warfarin has an INR of 5.2 and no signs of bleeding. What should the nurse do?

1. AGive a double dose to correct the result
2. BEncourage the patient to take aspirin for pain
3. CHold the warfarin dose and inform the provider
4. DGive the usual dose and recheck the INR next month

When making patient assignments, what should the charge nurse consider first?

1. ALetting staff choose the patients they prefer
2. BMatching each patient’s needs to staff competence
3. CGiving the newest staff the most complex patients
4. DGiving each nurse patients in rooms next to each other

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. ALet the patient sleep, because the saturation is above target
2. BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
3. CGive the as-needed sedative so the patient rests comfortably
4. DIncrease the oxygen to 6 L/min so that the saturation goes even higher than now

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AAn epidural hematoma
2. BNormal tiredness after a fall
3. CA mild concussion that is settling
4. DLow blood sugar from missing a meal