Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Who is responsible for developing the nursing plan of care?

1. AThe LPN/LVN alone
2. BThe nursing assistant
3. CThe registered nurse
4. DThe ward clerk

Dalam triaj korban beramai-ramai, apakah maksud tag hitam?

1. AKeutamaan rawatan tertinggi antara semua mangsa
2. BKecederaan kecil yang boleh menunggu berjam-jam lamanya
3. CMeninggal dunia, atau tidak mungkin terselamat dengan sumber yang ada
4. DTercemar, memerlukan dekontaminasi penuh sebelum sebarang penjagaan diberikan

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BDoing every delegated task yourself to make sure that it is done right
3. CLeaving the delegate to finish without any contact
4. DGuidance, follow-up and evaluation of the delegated task by the nurse

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BTurning the head to the side to drain water
3. CJaw thrust, keeping the head and neck in line
4. DHead-tilt, chin-lift with full neck extension

Which practice makes a shift handover safest?

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

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. AWait for the next contraction before acting
2. BPush the cord back into the uterus
3. CRelieve pressure on the cord by lifting the presenting part with a gloved hand
4. DAsk the patient to walk around the room to bring the baby lower and speed up labor

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DReassure her that this is normal “baby blues”

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. ASweep the mouth blindly with a finger
2. BEncourage the patient to keep coughing and stay with them
3. CGive the patient water to wash the food down
4. DGive abdominal thrusts straight away until the food comes out