Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CWash with soap and water
4. DNo hand hygiene is needed if gloves were worn

What is the CIWA scale used to assess?

1. AThe severity of a newborn’s jaundice
2. BThe severity of alcohol withdrawal
3. CThe risk of a pressure injury
4. DThe depth of a burn wound

Who is responsible for developing the nursing plan of care?

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

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BEncourage the patient to walk to improve the circulation
3. CRaise the head of the bed, give oxygen and call for urgent help
4. DGive the next dose of oral analgesia and reassess the patient in an hour

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will keep the tablets in their original dark container.”
2. B“I may get a headache after taking a tablet.”
3. C“I will sit down before I take a tablet.”
4. D“I will swallow the tablet with a glass of water.”

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BGive a second, smaller dose of insulin when the meal tray finally arrives
3. CTell the patient to wait and do nothing until the tray comes
4. DAsk the patient to walk around the ward until the food arrives

Semasa triaj START, seorang dewasa yang tidak boleh berjalan bernafas 24 kali seminit, mempunyai nadi radial, tetapi tidak boleh mengikut arahan mudah. Kategori manakah yang diberikan kepada mangsa itu?

1. AMerah (segera)
2. BHitam (dijangka maut)
3. CHijau (kecil)
4. DKuning (ditangguhkan)

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AAssessing a patient who returned from surgery 30 minutes ago
2. BWriting the discharge teaching plan for a patient with new diabetes
3. CMeasuring the vital signs and weights of every patient on the unit before breakfast
4. DGiving a scheduled subcutaneous anticoagulant injection to a stable patient