उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

Which statement about pulse oximetry is correct?

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

Which serum creatinine result suggests reduced kidney function in an adult?

1. A1.0 mg/dL (about 90 µmol/L)
2. B0.8 mg/dL (about 70 µmol/L)
3. C0.7 mg/dL (about 60 µmol/L)
4. D3.5 mg/dL (about 310 µmol/L)

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. B2 seconds
3. C1 second
4. DLess than 1 second

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will use a raised toilet seat at home.”
3. C“I will cross my legs when I sit, so I am more comfortable.”
4. D“I will not bend my hip past 90 degrees.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BStart CPR and stop when the family arrives
3. CStart chest compressions but not rescue breaths
4. DCall the cardiac arrest team and let them decide

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BHelp the patient carry shopping bags on the left arm
3. CDo not measure blood pressure on the left arm
4. DMeasure blood pressure on the left arm only, every 4 hours

After handover on a medical unit, which patient should the nurse see first?

1. ANew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
2. BDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
3. CDeep vein thrombosis on a heparin infusion, aPTT in the target range
4. DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. AEncourage the child to play contact sports
2. BMeasure abdominal girth by pressing firmly
3. CGive a warm bath with abdominal massage
4. DDo not palpate the abdomen