उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

कौन-सा रोगी सबसे स्थिर है?

1. Aवह रोगी जो नए सिरे से भ्रमित हो गया है
2. Bनए सीने के दर्द वाला रोगी
3. Cघुटने की सर्जरी के दो दिन बाद का रोगी, दर्द 3/10 और सामान्य जीवन-संकेतकों के साथ
4. Dवह रोगी जिसका रक्तचाप 132/80 से गिरकर 90/56 mmHg हो गया है

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Morse Fall Scale
2. BThe Glasgow Coma Scale
3. CThe FLACC scale
4. DThe Braden Scale

Which patient is unstable?

1. AA patient with long-standing arthritis pain of 3/10
2. BA patient with a new irregular pulse who says they feel dizzy
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient waiting for a planned hip X-ray

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe tube is flushed with a large volume of water
2. BThe patient is asked if the tube feels comfortable
3. CPlacement is confirmed by an approved method
4. DThe feed is started slowly to see if the patient coughs

Which newborn finding needs prompt reporting?

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

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“Silence the alarm and I will check it at the end of the shift.”
3. C“Increase the rate a little so the alarm clears.”
4. D“I will come and check the pump and the IV site now.”

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ACardiac tamponade
2. BSeptic shock
3. CHypovolemic shock
4. DNeurogenic shock

Which assignment by the charge nurse should be changed?

1. AAn RN is assigned to a patient receiving a blood transfusion
2. BA nursing assistant is assigned to help several stable patients with their meals
3. CAn LPN/LVN is assigned to give oral medications to stable patients
4. DAn LPN/LVN is assigned to admit a new patient from the emergency department