Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In a three-level triage system, what does “urgent” mean?

1. AAlready deceased on arrival
2. BLife-threatening and needs care immediately
3. CMinor, and can safely wait for several hours
4. DSerious but stable for now, and needs care soon

Secara umum, jenis masalah manakah yang ditangani sebelum yang lain?

1. AMasalah sebenar yang dialami pesakit sekarang
2. BMasalah risiko yang mungkin berkembang kemudian
3. CMasalah yang disenaraikan dalam pelan penjagaan yang lebih lama
4. DKeperluan pembelajaran untuk discaj

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient can safely eat and drink without help
3. CThe patient only has a mild headache
4. DThe patient is fully alert and oriented

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. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DMeet both of them privately to hear each side

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse a professional medical interpreter
2. BSpeak loudly and slowly in English
3. CAsk the patient’s 10-year-old child to translate
4. DUse hand gestures and hope the patient understands

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will tell my dentist and pharmacist that I take warfarin.”
2. B“I will use a soft toothbrush.”
3. C“If I miss a dose, I will take two the next day.”
4. D“I will keep my INR blood test appointments.”

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. APlacing the victim in the waiting room until a doctor is free
2. BDecontamination before the victim enters the treatment area
3. CTaking the victim straight to the X-ray department
4. DFull assessment inside the main department straight away

Di unit kardiak, pesakit manakah yang patut dilihat dahulu oleh jururawat?

1. APesakit kegagalan jantung yang bertambah 0.3 kg sejak semalam
2. BPesakit yang mengambil digoksin dengan nadi 48/min, loya dan kalium 3.0 mEq/L
3. CPesakit fibrilasi atrium yang kadar denyutan jantungnya 88/min dan tidak teratur, seperti sebelumnya
4. DPesakit yang diminta berpuasa sebelum imbasan esok