Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam kebanyakan tetapan, siapakah yang melakukan triaj kepada ketibaan baharu di jabatan kecemasan?

1. AKerani wad
2. BLPN/LVN tanpa penglibatan RN
3. CJururawat berdaftar
4. DPembantu jururawat

What is the main purpose of an incident report?

1. ATo replace the nurse’s notes in the patient’s record
2. BTo decide which staff member should be punished
3. CTo improve safety by finding out why events happen
4. DTo inform the patient’s insurance company

To which patients do standard precautions apply?

1. AOnly patients with a confirmed infection on a lab test
2. BOnly patients with an open wound
3. COnly patients in intensive care
4. DAll patients, whether or not an infection is known

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BAsk the ward clerk to take the order on the nurse’s behalf instead
3. CRemember the order and write it in the chart at the end of the shift
4. DWrite the order down and read it back to the provider to confirm it

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy covering it tightly with a plastic sheet
2. BWith the fingertips, pressing firmly to test it
3. CBy resting it directly on a hard surface
4. DWith the palms of the hands, not the fingertips

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 1 after bowel surgery, new chest pain and heart rate 110/min
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AHelp with the McRoberts position and give suprapubic pressure as directed
2. BPush firmly on the top of the uterus (fundal pressure)
3. CAsk the mother to stop pushing and wait an hour
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly

Semasa triaj START, seorang dewasa tidak bernafas. Saluran udara dikedudukan semula dan mangsa masih tidak bernafas. Apakah kategori yang betul?

1. AKuning, dan kembali kemudian
2. BMerah, kerana tidak bernafas ialah dapatan paling mendesak
3. CMerah, dan mulakan CPR serta-merta
4. DHitam (meninggal dunia atau dijangka maut)