Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In mmHg, what is the normal range for arterial PaCO₂?

1. A7.35–7.45 mmHg
2. B80–100 mmHg
3. C22–26 mmHg
4. D35–45 mmHg

Which patient needs a single room with airborne precautions?

1. AA patient with suspected pulmonary tuberculosis
2. BA patient with a urinary tract infection and a catheter
3. CA patient with a fractured femur
4. DA patient with type 2 diabetes

Which finding in an infant is a sign of breathing difficulty?

1. AA strong cry
2. BPink, warm hands and feet
3. CNasal flaring
4. DWet diapers every few hours

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. ATurn the patient onto her back and recheck later
2. BGive oral fluids to help clear the drug faster
3. CStop the magnesium infusion and call for help
4. DIncrease the infusion to prevent a seizure

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BGive IV dextrose or glucagon as prescribed
3. CPour orange juice into the patient’s mouth
4. DWait 15 minutes and recheck the glucose

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
3. CLast drink one week ago; asking about support groups
4. DLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects

Pesakit manakah yang merupakan pilihan terbaik untuk dipindahkan keluar daripada rawatan rapi untuk memberi ruang kepada kemasukan baharu?

1. ADimasukkan semalaman dengan pendarahan GI dan masih menerima darah
2. BDiintubasi 1 jam lalu untuk kegagalan pernafasan, masih disedasi
3. CDiekstubasi 2 hari lalu, stabil dengan oksigen hidung 2 L/min, tiada infusi vasoaktif
4. DDengan infusi norepinefrin yang dosnya dinaikkan pagi ini

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe pain has moved to a different, harmless place
2. BThe patient’s analgesic has finally started to work
3. CThe appendix may have ruptured, causing peritonitis
4. DThe appendicitis is getting better without surgery