उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe risk of developing a pressure injury
3. CThe risk of falling during a hospital stay
4. DThe level of consciousness after a head injury

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BDuring a period of acute breathlessness
3. CWhile in severe pain, so the lesson feels important
4. DStraight after hearing bad news about a serious new diagnosis

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNot for physical therapy
3. CNormal patient observations
4. DNothing by mouth

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Thank you, please suction him as needed and tell me how it went.”
2. B“Suctioning a new tracheostomy is my task; I will do it myself.”
3. C“Ask the patient’s family to do the suctioning today.”
4. D“Leave the suctioning until the next shift arrives.”

हैंडओवर के बाद, नर्स को किस रोगी को पहले देखना चाहिए?

1. Aमधुमेह का रोगी जिसका नाश्ते से पहले ग्लूकोज़ 160 mg/dL (8.9 mmol/L) है
2. Bकूल्हा प्रतिस्थापन के दो दिन बाद का रोगी, दर्द 5/10
3. Cदमे का रोगी जो सहायक पेशियों का उपयोग कर रहा है और जिसकी SpO₂ 88% है
4. Dनिमोनिया का रोगी, तापमान 38.2 °C, जिसे 30 मिनट पहले ज्वरनाशक दिया गया है

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BKeeping the drainage bag below the level of the bladder
3. CRaising the drainage bag above the bladder when walking
4. DDisconnecting the bag every shift to empty it

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BReassure her that this is normal “baby blues”
3. CKeep the mother and baby safe and arrange urgent psychiatric care
4. DAdvise more sleep and book a routine follow-up visit for next month

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AAn air leak in the patient or the system that needs checking
2. BThe drain is working normally and no action is needed
3. CThe suction is set too low and needs to be turned up
4. DThe lung has fully re-expanded, so the drain is ready to come out