Lembaran kerja Asas kejururawatan dengan jawapan

Where is the apical pulse best heard in an adult?

1. AAt the left side of the neck beside the windpipe
2. BAt the fifth intercostal space in the left midclavicular line
3. COver the lower end of the sternum in the midline
4. DAt the second intercostal space just right of the sternum

Which of these is a non-drug method of pain relief?

1. AA morphine injection
2. BDistraction, for example with music
3. CA paracetamol (acetaminophen) tablet
4. DAn anti-inflammatory gel

In a patient lying on their back, which two areas most often develop pressure ulcers?

1. AThe elbows and the ears
2. BThe sacrum and the heels
3. CThe knees and the shins
4. DThe shoulders and the chest

What is the purpose of the Z-track technique for intramuscular injections?

1. AIt seals the drug in the muscle and stops it leaking into the tissue above
2. BIt numbs the skin before the needle goes in
3. CIt lets the nurse give a larger volume into a small muscle
4. DIt makes the injection go into the fatty tissue instead of the muscle

A catheterised patient has had no urine in the bag for two hours. What should the nurse check first?

1. AThe patient's blood glucose level and recent insulin doses
2. BNothing, as two hours without urine is normal
3. CWhether the patient has eaten or drunk anything recently
4. DThe tubing for kinks or blockage and where the bag is

A patient has just finished a glass of iced water. How should this affect taking an oral temperature?

1. AAdd half a degree to the reading to correct for the drink
2. BUse the reading but only if the patient says they feel warm
3. CTake it straight away, as cold drinks do not affect the mouth
4. DWait about 15–30 minutes, as the reading may be falsely low

Semasa mengukur tekanan darah, lengan pesakit tergantung di sisi badan di bawah paras jantung. Bagaimanakah ini menjejaskan bacaan?

1. AIa memberi bacaan terlalu rendah secara palsu
2. BIa tidak menjejaskan bacaan
3. CIa memberi bacaan terlalu tinggi secara palsu
4. DIa hanya menjejaskan kadar jantung

On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?

1. ACategory 3
2. BCategory 1
3. CCategory 4
4. DCategory 2