उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

नर्सिंग असिस्टेंट चार निष्कर्ष बताती है। नर्स को पहले कौन-सा जाँचना चाहिए?

1. Aरोगी जो एक और कंबल माँग रहा है
2. Bरोगी जो अचानक अपना दायाँ हाथ नहीं हिला पा रहा
3. Cरोगी जिसकी नाश्ते की ट्रे पूरी नहीं हुई
4. Dरोगी जो किसी रिश्तेदार को फ़ोन करना चाहता है

कौन-सा निष्कर्ष वायुमार्ग की समस्या है?

1. A8/10 आँका गया पेट दर्द
2. Bकमज़ोर, धागे जैसी रेडियल नाड़ी
3. Cजीभ और होंठों की सूजन के साथ कर्कश आवाज़
4. Dसाँस लेते समय दोनों फेफड़ों के आधारों पर बारीक क्रैकल्स सुनाई देना

Which serum sodium value is within the normal adult range?

1. A120 mEq/L (120 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C128 mEq/L (128 mmol/L)
4. D140 mEq/L (140 mmol/L)

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AReport them to human resources at once
2. BIgnore it and hope they sort it out
3. CMeet both of them privately to hear each side
4. DChange both of their assignments without any discussion

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

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AGive the strongest analgesic on the chart straight away
2. BAssess the location, character and onset of the pain and the vital signs
3. CAsk the nursing assistant to reposition the patient
4. DTell the patient to wait until the next scheduled dose is due in two hours

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetes insipidus
2. BSIADH
3. CAcute kidney injury with oliguria
4. DDiabetic ketoacidosis

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AAsk a family member to sign on the patient’s behalf
2. BNot witness the consent and inform the surgeon
3. CWitness it and write “sedated” beside the signature
4. DWitness it quickly before the sedative takes full effect