Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe risk of developing a pressure injury
3. CThe risk of falling during a hospital stay
4. DThe level of consciousness after a head injury

In nursing management, what is an “assignment”?

1. AGiving staff care activities that are within their own role and scope
2. BHanding legal accountability for a patient over to a nursing colleague
3. CA written order from a prescriber for a treatment
4. DAsking a colleague to do a task outside their usual scope

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BA complaint from a visitor
3. CA planned treatment that did not work
4. DAn error that reached the patient and caused serious harm

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CGive a cough suppressant so that the incision is not strained
4. DKeep the patient lying flat in bed to rest the incision fully

Pesakit manakah yang boleh dilihat terakhir dengan selamat oleh jururawat?

1. APesakit dengan krepitasi baharu dan kahak berbuih merah jambu
2. BPesakit COPD dengan oksigen 1 L/min, SpO₂ 90% (sasaran 88–92%), bercakap dalam ayat penuh
3. CPesakit dua jam selepas pembedahan dengan kadar denyutan jantung meningkat daripada 88 kepada 118/min
4. DPesakit dengan sakit kepala teruk yang mendadak

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BReport them to human resources at once
3. CChange both of their assignments without any discussion
4. DMeet both of them privately to hear each side

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AMild breathlessness with reduced breath sounds on one side of the chest only
2. BSharp chest pain that is worse on deep breathing
3. CTrachea shifted away from the affected side, with low blood pressure
4. DA small air leak seen on a routine chest X-ray

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AEnsure the patient’s safety, document the findings and report as required
2. BTell the patient she must leave home and go to live somewhere else
3. CAsk the relative directly in front of the patient whether they hit her
4. DIgnore it, because older people bruise easily