Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

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

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

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

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

Dalam pendelegasian, apakah maksud "keadaan yang betul"?

1. AJururawat memeriksa hasilnya selepas tugas selesai
2. BTetapan dan keadaan pesakit menjadikan pendelegasian selamat
3. CTugas itu disenaraikan dengan jelas dalam huraian kerja bertulis penerima delegasi
4. DJururawat memberi penerima delegasi arahan yang jelas dan khusus

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DMilia (small white spots) on the nose

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BGiving mouth care
3. CIrrigating the tube when it blocks
4. DChecking the tube’s position

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. APlace a tongue depressor between the teeth
2. BGive a drink of water to help the patient wake
3. CHold the arms and legs down firmly to stop the jerking movements quickly
4. DProtect the head and turn the patient on their side when possible

Tugasan kepada LPN/LVN manakah yang paling sesuai?

1. APesakit COPD yang stabil yang memerlukan bronkodilator nebulisasi berjadual dan ubat oral
2. BPesakit yang memerlukan pengajaran discaj untuk warfarin yang baru dimulakan
3. CPesakit dengan fibrilasi atrium baharu yang baru memulakan infusi diltiazem IV
4. DPesakit yang dipindahkan dari rawatan rapi sejam lalu

Which patient with cirrhosis should the nurse see first?

1. ALong-standing jaundice and itchy skin, asking for cream
2. BLarge ascites that is unchanged from yesterday
3. CWants to talk about stopping drinking alcohol for good
4. DVomiting bright red blood, heart rate 120/min