Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which task should the registered nurse not delegate to a nursing assistant?

1. AMaking an occupied bed
2. BGiving a bed bath to a stable patient
3. CEvaluating whether the patient understood discharge teaching
4. DWalking a stable patient up and down the corridor after lunch

Dalam sistem triaj tiga peringkat, pesakit dengan buku lali terseliuh, tanda vital normal dan kesakitan ringan biasanya dikelaskan sebagai:

1. ATidak mendesak
2. BKecemasan
3. CSegera
4. DDijangka maut

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo give the surgeon a short rest before the operation starts
2. BTo let the family say goodbye to the patient
3. CTo confirm the correct patient, procedure and site
4. DTo count the swabs at the end of the operation

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 1
2. BLevel 2
3. CLevel 5
4. DLevel 4

Which medication order should the nurse question?

1. AOral potassium chloride with food
2. BPotassium chloride by IV push
3. CPotassium chloride diluted in an IV bag via a pump
4. DPotassium chloride oral solution diluted in juice

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. ADo not make the child vomit; call poison control or emergency services now
2. BWait to see whether the child develops any symptoms first
3. CGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
4. DMake the child vomit straight away to bring up the chemical

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ANeurogenic shock
2. BSeptic shock
3. CCardiac tamponade
4. DHypovolemic shock

Seorang pesakit mengalami kesukaran bercakap secara mendadak 45 minit lalu. Tindakan manakah yang menjadi keutamaan tertinggi?

1. AAktifkan pasukan strok untuk pengimejan segera, dengan mencatat bila kali terakhir pesakit diketahui sihat
2. BBeri aspirin melalui mulut serta-merta untuk menghadkan bekuan
3. CTunggu sehingga pakar neurologi dapat menilai pesakit pada rondaan wad pagi
4. DBeri air supaya pesakit boleh mengambil ubat pagi yang biasa