उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA chest CT scan
2. BA 12-lead ECG
3. CA lipid profile
4. DAn exercise stress test

What is the range of possible scores on the Glasgow Coma Scale?

1. A0 to 15
2. B3 to 15
3. C0 to 10
4. D1 to 20

Which finding is expected in a patient with long-standing COPD?

1. ASudden sharp chest pain
2. BA barrel-shaped chest
3. CAn SpO₂ of 78%
4. DNew confusion

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ANormal blood pressure, normal pulse and clear speech
2. BFalling blood pressure, a fast pulse and warm, flushed dry skin
3. CRising systolic pressure, slow pulse and irregular breathing
4. DLow temperature, fast breathing and a strong appetite

Which patient with diabetes should the nurse see first?

1. AHbA1c result of 8.2%, asking about diet
2. BGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
3. CNeeds foot care teaching before discharge tomorrow
4. DGlucose 48 mg/dL (2.7 mmol/L), sweating and confused

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AVitamin K (phytonadione)
2. BVitamin C (ascorbic acid)
3. CThiamine (vitamin B₁)
4. DVitamin D (calciferol)

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BIgnore it, because older people bruise easily
3. CEnsure the patient’s safety, document the findings and report as required
4. DTell the patient she must leave home and go to live somewhere else

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. ATell the patient that refusing treatment is not allowed in hospital
2. BAsk the family to persuade the patient until they agree
3. CRespect the refusal, check the patient understands the risks and inform the provider
4. DGive the transfusion while the patient is asleep, because saving their life comes first