Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA lipid profile
3. CA chest CT scan
4. DA 12-lead ECG

What does a root cause analysis look for after a serious event?

1. AThe underlying system causes of the event
2. BHow much the event cost the hospital
3. CThe single staff member who should be blamed
4. DWhich patient made the complaint

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

1. A99%
2. B97%
3. C89%
4. D96%

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ACover the wound with sterile dressings moistened with saline
2. BLeave the wound uncovered so the surgeon can see it on arrival
3. CHelp the patient walk to the toilet to relieve abdominal pressure
4. DPush the bowel gently back into the abdomen with a gloved hand

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child plenty of fluids.”
2. B“I will keep my child home from school and away from others while unwell.”
3. C“I will call if my child has trouble breathing.”
4. D“I will give my child aspirin to bring the fever down.”

Which newborn finding needs prompt reporting?

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

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AStandard precautions only
2. BDroplet precautions
3. CContact precautions only
4. DAirborne precautions

Seorang pesakit selepas pembedahan besar mempunyai keluaran air kencing 15 mL/j selama dua jam, kadar denyutan jantung 115/min dan tangan yang sejuk. Apakah yang patut dilakukan oleh jururawat dahulu?

1. AMenunggu dua jam lagi untuk melihat sama ada keluaran bertambah baik
2. BMenilai tanda renjatan, seperti pendarahan, dan mengeskalasi
3. CMembilas kateter dan menyemak semula keluaran esok pagi
4. DMenggalakkan pesakit minum lebih banyak air dan semak semula kemudian