Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dengan semua perkara lain sama, masalah manakah yang biasanya diutamakan?

1. AMasalah yang mengambil masa paling singkat untuk diselesaikan
2. BMasalah akut yang baharu
3. CMasalah kronik yang sudah lama, kerana ia menjejaskan lebih banyak kehidupan pesakit
4. DMasalah yang paling dibimbangkan oleh keluarga

Which patient needs a single room with airborne precautions?

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

Tugas manakah yang biasanya boleh didelegasikan oleh jururawat berdaftar kepada pembantu penjagaan tidak berlesen (UAP), seperti pembantu jururawat?

1. AMenilai tindak balas pesakit terhadap ubat penahan sakit
2. BMengajar pesakit cara menyuntik insulin baharu
3. CMelakukan penilaian kemasukan pesakit baharu
4. DMengukur tanda vital pada pesakit yang stabil

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. BGive a cough suppressant so that the incision is not strained
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DKeep the patient lying flat in bed to rest the incision fully

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe weights are resting on the floor
2. BThe weights are hanging freely
3. CThe ropes are in the pulleys
4. DThe patient’s body is in line with the traction

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart CPR and stop when the family arrives

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4.3 kPa) on arrival. An hour later it is 46 mmHg (6.1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BA laboratory error that should be ignored
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DThe patient is hyperventilating even more than before and needs calming

Pesakit manakah yang memerlukan perhatian jururawat dahulu?

1. APesakit yang berkata ini "sakit kepala paling teruk dalam hidup saya" yang bermula secara mendadak, dengan tekanan darah 170/100 mmHg
2. BPesakit migrain yang diketahui yang mengalami sakit kepala seperti yang biasa dialaminya
3. CPesakit sakit belakang kronik yang meminta pek haba
4. DPesakit hipertensi yang sudah lama yang tekanan darahnya 158/94 mmHg dan tiada gejala