Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AGiving scheduled oral medications
2. BGiving an IV push medication
3. CReinforcing teaching already given
4. DMeasuring vital signs

Dalam triaj korban beramai-ramai, apakah maksud tag hitam?

1. ATercemar, memerlukan dekontaminasi penuh sebelum sebarang penjagaan diberikan
2. BKecederaan kecil yang boleh menunggu berjam-jam lamanya
3. CMeninggal dunia, atau tidak mungkin terselamat dengan sumber yang ada
4. DKeutamaan rawatan tertinggi antara semua mangsa

Dalam kebanyakan tetapan, siapakah yang melakukan triaj kepada ketibaan baharu di jabatan kecemasan?

1. AKerani wad
2. BLPN/LVN tanpa penglibatan RN
3. CJururawat berdaftar
4. DPembantu jururawat

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3.4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BRecord the result and recheck the glucose at the usual time before the evening meal
3. CGive the next scheduled dose of rapid-acting insulin with the meal
4. DGive another serving of fast-acting carbohydrate and recheck in 15 minutes

An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DMetabolic acidosis

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ACall emergency services now and note the time it started
2. BLet him lie down and see if it improves
3. CBook an appointment with his doctor next week
4. DDrive him to the hospital yourself after he has eaten dinner

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient in pain after surgery
3. CThe confused patient climbing out of bed
4. DThe patient whose call light went on first

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ALeave the intensive care unit and go back to the medical unit without telling anyone
2. BTell the charge nurse about the gap, accept tasks within competence and ask for support
3. CRefuse to work and go home, because the assignment is unsafe
4. DAccept the full assignment without comment to avoid conflict