उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

In the ABC framework, which finding is mainly a breathing problem?

1. AStridor caused by a swollen throat
2. BHeart rate 150/min with a low blood pressure and cold skin
3. CA blood glucose of 60 mg/dL (3.3 mmol/L)
4. DShallow breaths with an SpO₂ of 85% on room air

पंजीकृत नर्स को कौन-सा कार्य असंबद्ध सहायक कर्मी को सौंपने के बजाय स्वयं करना चाहिए?

1. Aनए भर्ती रोगी का प्रारंभिक आकलन
2. Bअंतर्ग्रहण और निर्गम मापना और दर्ज करना
3. Cस्थिर रोगी को नहलाना
4. Dस्थिर रोगी को शौचालय तक चलाकर ले जाना और वापस लाना

Which resting heart rate is normal for a newborn?

1. A60/min
2. B80/min
3. C210/min
4. D140/min

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DCheck for signs of low calcium and inform the provider

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. ASubcutaneous long-acting insulin only, given once
2. BOral potassium tablets
3. CA high-carbohydrate meal
4. DIV isotonic fluid such as 0.9% sodium chloride

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. AHelp the patient walk to the toilet to relieve abdominal pressure
2. BPush the bowel gently back into the abdomen with a gloved hand
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DCover the wound with sterile dressings moistened with saline

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

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

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. ARemove the dressing and leave the site open to the air
2. BRaise the head of the bed so the patient can sit up
3. CApply firm, direct pressure just above the puncture site
4. DAsk the patient to bend the leg at the hip to stop the bleeding