Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In mass-casualty triage, what does a yellow tag usually mean?

1. AMinor: the walking wounded
2. BDelayed: serious injuries, but care can safely wait a little
3. CDeceased or not expected to survive
4. DImmediate: life-threatening injuries that are survivable with quick care

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B80–100 mEq/L
3. C22–26 mEq/L
4. D3.5–5.0 mEq/L

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

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

Which practice makes a shift handover safest?

1. AA quick chat in the corridor with no notes taken
2. BLeaving a sticky note on the computer screen for the next nurse
3. CA structured format, such as SBAR, with time for questions
4. DHanding over only the patients who had problems during the shift

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

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BApply a heat pad to the area to increase circulation
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

Seorang jururawat menyelia pembantu jururawat yang baharu. Bilakah jururawat patut memeriksa kerja pembantu dengan paling rapi?

1. AApabila pembantu baharu kepada tugas itu atau pesakit kurang stabil
2. BHanya apabila pembantu meminta bantuan dengan tugas yang dirasainya sukar
3. CHanya pada akhir syif, apabila dokumentasi disemak
4. DTidak pernah, kerana pembantu memegang sijil untuk peranan itu

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ADisseminated intravascular coagulation (DIC)
2. BAn allergic reaction to the adhesive tape
3. CVitamin C deficiency
4. DNormal bruising from blood tests