Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow many visitors the patient is expected to have
2. BHow ill the patient is and how much nursing care they need
3. CHow long the patient has been in the hospital since admission
4. DHow far the patient’s room is from the nurses’ station

Which task should the registered nurse not delegate to a nursing assistant?

1. AGiving a bed bath to a stable patient
2. BWalking a stable patient up and down the corridor after lunch
3. CMaking an occupied bed
4. DEvaluating whether the patient understood discharge teaching

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BFlumazenil
3. CProtamine sulfate
4. DVitamin K

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BCleaning hands before entering the room
3. CPutting the call light within the patient’s reach
4. DLowering the bed to its lowest position and locking the wheels after care

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BWrite the order down and read it back to the provider to confirm it
3. CAsk the ward clerk to take the order on the nurse’s behalf instead
4. DRemember the order and write it in the chart at the end of the shift

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will rinse my mouth after using the steroid inhaler.”
2. B“I will carry my salbutamol inhaler with me.”
3. C“I will use my steroid inhaler when I have a sudden attack.”
4. D“I will use my steroid inhaler every day, even when I feel well.”

During a power cut, which patient is the nurse’s first priority?

1. AA patient watching television when it switched off
2. BA patient whose bed will not raise electrically
3. CA patient who depends on a ventilator
4. DA patient whose call light is not working

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn adult with kidney stone pain of 9/10 and stable vital signs
2. BA child with a temperature of 39 °C who is alert and drinking
3. CA young adult with a swollen, painful ankle after a fall on the stairs
4. DAn older adult with weakness on one side that began 40 minutes ago