Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BAt the first postnatal clinic visit
3. COnly at 24 hours after birth
4. DBefore the baby is born

Tugas manakah yang biasanya boleh didelegasikan oleh jururawat berdaftar kepada pembantu penjagaan tidak berlesen (UAP), seperti pembantu jururawat?

1. AMelakukan penilaian kemasukan pesakit baharu
2. BMenilai tindak balas pesakit terhadap ubat penahan sakit
3. CMengajar pesakit cara menyuntik insulin baharu
4. DMengukur tanda vital pada pesakit yang stabil

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. BWaiting for the written report before doing anything
3. CReading the result to the next shift at handover
4. DReading the result aloud to the patient straight away

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Thank you, please suction him as needed and tell me how it went.”
2. B“Suctioning a new tracheostomy is my task; I will do it myself.”
3. C“Leave the suctioning until the next shift arrives.”
4. D“Ask the patient’s family to do the suctioning today.”

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“Only she should press the button when she needs pain relief.”
2. B“I will tell the nurse if she becomes very sleepy or hard to wake.”
3. C“I will press the button for her while she is asleep so she stays comfortable.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ADrinking thin fluids quickly through a straw between bites
2. BLying flat with the head tilted back
3. CTalking while eating to stay alert
4. DSitting upright with the chin tucked down while swallowing

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. AGive five rescue breaths; if breathing starts, tag the child red
2. BTag the child green and return to them after the others
3. CStart full CPR on the child and stay with them until more help arrives
4. DTag the child black at once and move on to the next victim

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AGive the water through a straw so it goes down slowly
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive thickened fluids without checking the swallow
4. DAsk the family to help the patient drink while sitting upright in a chair at the bedside