Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

What is a “near miss” in patient safety?

1. AA planned treatment that did not work
2. BAn error that was caught before it reached the patient
3. CA complaint from a visitor
4. DAn error that reached the patient and caused serious harm

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ALow and needing to be reported
2. BHigh, suggesting fluid overload
3. CExpected after drinking fluids
4. DNormal for an adult at rest

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. ARepeating the result back to the caller to confirm it
2. BReading the result to the next shift at handover
3. CWaiting for the written report before doing anything
4. DReading the result aloud to the patient straight away

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AReport them to human resources at once
2. BMeet both of them privately to hear each side
3. CChange both of their assignments without any discussion
4. DIgnore it and hope they sort it out

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ATurn away and ignore the behavior
2. BStand very close to him and tell him firmly and loudly to sit down and be quiet
3. CSpeak calmly, keep a safe distance and invite him to talk about what is wrong
4. DApply physical restraints at once

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BMild anxiety about the high reading on the monitor
3. CForgetting to take the blood pressure tablet this morning
4. DNew chest pain or confusion suggesting organ damage

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A13
2. B7
3. C11
4. D9

Seorang pesakit menerima kalium klorida IV melalui talian periferi dan mengadu rasa terbakar di tapak itu, yang kelihatan merah. Apakah yang dilakukan oleh jururawat dahulu?

1. AMemberitahu pesakit bahawa rasa terbakar adalah dijangka dan teruskan
2. BHentikan infusi dan nilai tapak IV
3. CTingkatkan kadar infusi untuk menyiapkan dos lebih awal
4. DLetakkan pek suam dan teruskan infusi