उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

In a three-level triage system, what does “urgent” mean?

1. ALife-threatening and needs care immediately
2. BSerious but stable for now, and needs care soon
3. CMinor, and can safely wait for several hours
4. DAlready deceased on arrival

A medication error has just reached a patient. What is the nurse’s first action?

1. AAssess the patient for any effects of the error
2. BComplete an incident report before doing anything else
3. CTell the nurse manager at the end of the shift
4. DCorrect the entry on the medication record

Which serum sodium value is within the normal adult range?

1. A128 mEq/L (128 mmol/L)
2. B140 mEq/L (140 mmol/L)
3. C120 mEq/L (120 mmol/L)
4. D152 mEq/L (152 mmol/L)

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BEncourage extra fluids to correct the weight change
3. CLay the patient flat to help them breathe more easily
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

Which newborn finding needs prompt reporting?

1. AMilia (small white spots) on the nose
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DJaundice that appears within the first 24 hours

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will check the soles of my feet every day with a mirror.”
2. B“I will dry well between my toes after washing.”
3. C“I will soak my feet in hot water every evening.”
4. D“I will wear shoes that fit well, even at home.”

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. AA side effect of eating salty food
2. BDehydration from drinking too much
3. CRejection of the transplant
4. DNormal healing of the transplant

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 2
2. BLevel 4
3. CLevel 1
4. DLevel 5