Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which three things does START triage check in a non-walking adult?

1. APulse, blood pressure and body temperature
2. BRespirations, perfusion and mental status
3. CPain score, mobility and age
4. DAirway, blood glucose and pupils

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

1. A3.5–5.0 mEq/L
2. B35–45 mEq/L
3. C22–26 mEq/L
4. D80–100 mEq/L

Which serum creatinine result suggests reduced kidney function in an adult?

1. A0.7 mg/dL (about 60 µmol/L)
2. B3.5 mg/dL (about 310 µmol/L)
3. C0.8 mg/dL (about 70 µmol/L)
4. D1.0 mg/dL (about 90 µmol/L)

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

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

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

1. AVitamin K deficiency
2. BHeparin-induced thrombocytopenia
3. CAn expected effect that needs no action
4. DIron deficiency anemia

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. CKeep the patient lying on the back to protect the area
4. DRelieve pressure on the area by changing position regularly

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BLeave the patient alone so they can rest
3. CGive prescribed opioids and use positioning and a fan to relieve breathlessness
4. DStart a series of aggressive tests to find the exact cause of the breathlessness

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AWrapping the runner in a blanket to prevent shivering
2. BAsking the runner to rest in the shade and drink slowly
3. CGiving an antipyretic tablet and waiting for it to work
4. DRapid cooling while supporting airway and circulation