Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When taking off protective equipment, which item is usually removed first?

1. AMask
2. BGown
3. CGloves
4. DGoggles

Which statement belongs in the Background part of an SBAR report?

1. A“He was admitted three days ago with pneumonia and also has COPD.”
2. B“I would like you to see him within the next 15 minutes.”
3. C“I think he may be developing sepsis.”
4. D“I am calling about Mr Khan because his blood pressure has dropped.”

Which phrase in a question usually signals a priority question?

1. A“Which bone is found in the forearm?”
2. B“Which action should the nurse take first?”
3. C“Which statement describes this drug’s class?”
4. D“Which term means inflammation of the liver?”

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

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

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ARemove the catheter and wait for the patient to void
2. BCheck the tubing for kinks or obstruction
3. CEncourage the patient to drink more water
4. DGive a prescribed diuretic straight away

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AAn expected effect that needs no action
2. BVitamin K deficiency
3. CIron deficiency anemia
4. DHeparin-induced thrombocytopenia

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DReassure her that this is normal “baby blues”

Semasa triaj START, seorang dewasa tidak bernafas. Saluran udara dikedudukan semula dan mangsa masih tidak bernafas. Apakah kategori yang betul?

1. AMerah, kerana tidak bernafas ialah dapatan paling mendesak
2. BMerah, dan mulakan CPR serta-merta
3. CHitam (meninggal dunia atau dijangka maut)
4. DKuning, dan kembali kemudian