Lembaran kerja Asas kejururawatan dengan jawapan

Which body temperature is within the normal range for an adult?

1. A36.8 °C
2. B34.6 °C
3. C39.2 °C
4. D38.4 °C

Apakah maksud kerahsiaan pesakit?

1. APesakit tidak boleh sekali-kali melihat rekodnya sendiri
2. BMaklumat tentang pesakit dikongsi hanya dengan mereka yang memerlukannya untuk penjagaan
3. CHanya doktor yang boleh mengetahui diagnosis
4. DMaklumat boleh dikongsi dengan sesiapa yang bertanya, selagi mereka mengenali pesakit itu

What is an incident report used for?

1. AOrdering equipment for the ward
2. BRecording staff holiday requests
3. CRecording an event that caused or could have caused harm
4. DRecording the patient's daily observations and fluid balance

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

1. AThe patient has already fallen several times
2. BThe problem can never be prevented
3. CThe doctor has confirmed the diagnosis with tests and a scan
4. DThe fall has not happened yet, but risk factors are present

A patient shouts at the nurse that nobody has told them when their operation will be. What is the best first response?

1. AWalk away until the patient calms down by themselves
2. BStay calm, listen and acknowledge their frustration
3. CArgue back that the staff are very busy
4. DTell the patient to stop shouting or leave the ward

Why is hand hygiene still needed after removing gloves?

1. AHand hygiene is only needed if the gloves were sterile
2. BIt is not needed, as the gloves protected the hands
3. CGloves can have tiny holes and hands can be contaminated during removal
4. DGlove powder causes skin allergies and must always be washed off the hands

On the morning of surgery, a patient who signed the consent form says they do not understand what the operation involves. What should the nurse do?

1. AInform the surgeon so consent can be discussed again before surgery
2. BExplain the operation's risks themselves and go ahead
3. CReassure the patient that signing the form is enough for consent to be valid
4. DSend the patient to theatre, as the form is already signed

A patient with severe anaemia has an SpO₂ of 98%. Why can this reading be misleading?

1. AAnaemia makes the oximeter read about 10% higher than the true saturation
2. BAnaemia damages the light sensor of the oximeter
3. CPatients with anaemia always have a low true saturation
4. DThe red cells present are saturated, but the blood carries little oxygen