उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who wants to shower in the evening
2. BA pulse of 42/min in a patient whose usual pulse is 76/min
3. CA patient who would like tea instead of coffee
4. DA patient whose weight is unchanged from yesterday

Which serum sodium value is within the normal adult range?

1. A120 mEq/L (120 mmol/L)
2. B140 mEq/L (140 mmol/L)
3. C152 mEq/L (152 mmol/L)
4. D128 mEq/L (128 mmol/L)

What is status epilepticus?

1. AA seizure that happens only during sleep
2. BA faint caused by standing up too quickly
3. CA seizure lasting 5 minutes or more, or repeated seizures without recovery
4. DA single short seizure that stops on its own within a minute or two

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BRaising the drainage bag above the bladder when walking
3. CLeaving the catheter in place longer than needed
4. DDisconnecting the bag every shift to empty it

Which telephone call should a clinic nurse return first?

1. AAn adult who wants to move a routine blood test appointment
2. BA parent of a 5-year-old with a runny nose for two days
3. CA parent of a 6-week-old with a temperature of 38.3 °C
4. DAn adult asking for a repeat prescription for a statin

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child with croup who has a barking cough but no stridor at rest
3. CA child with a temperature of 38.2 °C after vaccination
4. DA child in a new arm cast with pink, warm fingers and pain of 5/10

सतत ट्यूब फ़ीड के दौरान रोगी अचानक खाँसने लगता है, हाँफने लगता है और SpO₂ गिर जाती है। नर्स की पहली कार्रवाई क्या है?

1. Aफ़ीड रोकें, रोगी को सीधा बैठाएँ और साँस का आकलन करें
2. Bट्यूब को 50 mL पानी से फ़्लश करें, फिर फ़ीड पहले की तरह जारी रखें
3. Cफ़ीड की दर बढ़ाएँ ताकि वह जल्दी खत्म हो
4. Dरोगी को आराम के लिए सीधा लिटा दें

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