Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

What does a root cause analysis look for after a serious event?

1. AThe underlying system causes of the event
2. BHow much the event cost the hospital
3. CThe single staff member who should be blamed
4. DWhich patient made the complaint

What is the usual adult reference range for serum potassium?

1. AAbout 135–145 mEq/L
2. BAbout 1.5–2.5 mEq/L
3. CAbout 6.0–8.0 mEq/L
4. DAbout 3.5–5.0 mEq/L

Does asking a patient directly about suicidal thoughts increase their risk?

1. AYes; asking about it may give the patient the idea
2. BNo; asking directly is safe and helps assess the risk
3. COnly when the question is asked in writing
4. DOnly if the patient is over 65 years old

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BA urinary tract infection
3. CA pressure injury on the heel
4. DDislocation of the new hip

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will use a raised toilet seat at home.”

Which practice makes a shift handover safest?

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

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AA normal reaction to pain
2. BMyxedema coma
3. CThyroid storm
4. DOpioid withdrawal

Seorang pesakit selepas pembedahan besar mempunyai keluaran air kencing 15 mL/j selama dua jam, kadar denyutan jantung 115/min dan tangan yang sejuk. Apakah yang patut dilakukan oleh jururawat dahulu?

1. AMembilas kateter dan menyemak semula keluaran esok pagi
2. BMenunggu dua jam lagi untuk melihat sama ada keluaran bertambah baik
3. CMenggalakkan pesakit minum lebih banyak air dan semak semula kemudian
4. DMenilai tanda renjatan, seperti pendarahan, dan mengeskalasi