उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B22–26 mEq/L
3. C3.5–5.0 mEq/L
4. D80–100 mEq/L

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of a newborn’s jaundice
3. CThe severity of alcohol withdrawal
4. DThe depth of a burn wound

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASweating, shaking and a fast pulse
2. BIncreased thirst and passing more urine
3. CConfusion that improves quickly with juice
4. DSudden hunger with cold, clammy skin

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

1. AApply a heat pad to the area to increase circulation
2. BKeep the patient lying on the back to protect the area
3. CRelieve pressure on the area by changing position regularly
4. DMassage the area firmly to improve the blood flow to the skin

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
3. CTurn away and ignore the behavior
4. DApply physical restraints at once

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ADislocation of the new hip
2. BNormal pain after surgery
3. CA urinary tract infection
4. DA pressure injury on the heel

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4.3 kPa) on arrival. An hour later it is 46 mmHg (6.1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BA laboratory error that should be ignored
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DThe patient is hyperventilating even more than before and needs calming

Which patient is the best choice for the room closest to the nurses’ station?

1. AA confused older adult at high risk of falls
2. BA young adult waiting for discharge tomorrow
3. CA patient with stable diabetes who walks independently
4. DA patient admitted for a planned scan, feeling well