Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam Emergency Severity Index (ESI), apakah maksud tahap 1?

1. APesakit yang paling kurang mendesak
2. BCukup stabil untuk dilihat di kawasan laluan pantas
3. CMemerlukan dua atau lebih sumber
4. DMemerlukan intervensi menyelamatkan nyawa segera

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BChoosing which wound dressing to use
3. CTurning and repositioning the patient every 2 hours
4. DPlanning the patient’s skin care

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe federal tax code
2. BThe hospital’s visitor policy
3. CThe state Nurse Practice Act
4. DThe Food and Drug Administration rules

Selepas serah tugas, pesakit manakah yang patut dilihat dahulu oleh jururawat?

1. APesakit dua hari selepas penggantian pinggul dengan kesakitan 5/10
2. BPesakit asma yang menggunakan otot tambahan dan mempunyai SpO₂ 88%
3. CPesakit diabetes yang glukosanya sebelum sarapan ialah 160 mg/dL (8.9 mmol/L)
4. DPesakit pneumonia, suhu 38.2 °C, yang menerima antipiretik 30 minit lalu

Seorang jururawat melihat pembantu jururawat mengukur tekanan darah dengan kaf yang jelas terlalu kecil. Apakah yang patut dilakukan oleh jururawat?

1. AMengeluarkan pembantu daripada penjagaan pesakit untuk hari itu
2. BMengabaikannya, kerana satu bacaan tinggi tidak penting
3. CCampur tangan sekarang, betulkan teknik dengan bijaksana dan semak semula
4. DMenyebutnya kemudian pada penilaian tahunan pembantu yang seterusnya

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. ADeciding whether to stop the transfusion if the patient has chills
2. BStarting the transfusion once the blood arrives
3. CAssessing the patient for signs of a transfusion reaction
4. DMeasuring and reporting vital signs at the times set by the nurse

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AAirborne precautions in a negative-pressure room for the whole of the hospital stay
2. BFull contact and droplet precautions for all staff and visitors on the unit
3. CDroplet precautions with a surgical mask for everyone who enters
4. DStandard precautions, because it does not usually spread from person to person

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AA swallow test with a cup of water
2. BAn echocardiogram to look for clots
3. CA brain scan to rule out bleeding
4. DA full lipid profile to check cholesterol