Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

For a patient who does not take an anticoagulant, which INR is normal?

1. A4.0
2. B6.0
3. C2.5
4. D1.0

In SBAR communication, what does the letter R stand for?

1. AReassessment
2. BRecommendation
3. CResult
4. DResponse

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A96%
2. B97%
3. C99%
4. D89%

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. ATurn the patient onto her back and recheck later
2. BGive oral fluids to help clear the drug faster
3. CIncrease the infusion to prevent a seizure
4. DStop the magnesium infusion and call for help

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AAsk the patient to lie still for another hour
2. BGive a dose of oxytocin straight away
3. CMassage the uterus firmly for ten minutes
4. DHelp the patient empty her bladder

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ASitting upright with the chin tucked down while swallowing
2. BTalking while eating to stay alert
3. CLying flat with the head tilted back
4. DDrinking thin fluids quickly through a straw between bites

Seorang jururawat menjaga empat pesakit. Siapakah yang boleh ditugaskan dengan selamat kepada pembantu jururawat untuk penjagaan rutin?

1. APesakit dengan glukosa darah 52 mg/dL (2.9 mmol/L) yang berpeluh
2. BPesakit dengan tiub dada baharu yang dipasang sejam lalu
3. CPesakit lima hari selepas strok yang memerlukan bantuan mandi dan mempunyai tanda vital yang stabil
4. DPesakit yang kembali dari pembedahan yang memerlukan penilaian pascaoperasi pertama

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive the water through a straw so it goes down slowly
4. DGive thickened fluids without checking the swallow