Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BLife-threatening and needs care immediately
3. CSerious but stable for now, and needs care soon
4. DAlready deceased on arrival

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BAsking a colleague to do a task outside their usual scope
3. CHanding legal accountability for a patient over to a nursing colleague
4. DGiving staff care activities that are within their own role and scope

Which drug is used to reverse the effect of warfarin?

1. AProtamine sulfate
2. BFlumazenil
3. CVitamin K
4. DNaloxone

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

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BDressing soaked with bright red blood and a heart rate rising to 118/min
3. CPain of 4/10 one hour after an oral analgesic
4. DWants help with washing her hair before her visitors arrive this afternoon

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AAsk the patient to lie still for another hour
2. BHelp the patient empty her bladder
3. CGive a dose of oxytocin straight away
4. DMassage the uterus firmly for ten minutes

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AThyroid storm
2. BA normal reaction to pain
3. COpioid withdrawal
4. DMyxedema coma

Selepas laporan, pesakit manakah yang patut dinilai dahulu oleh jururawat?

1. ADiabetes jenis 2: glukosa 210 mg/dL (11.7 mmol/L) sebelum makan tengah hari, tanpa gejala
2. BCOPD dengan oksigen 2 L/min: SpO₂ 90%, kadar pernafasan 22/min, pada garis asas biasa
3. C1 jam selepas kateterisasi jantung femoral: sakit belakang baharu, nadi 118/min, BP 92/58 mmHg
4. DHari ke-2 selepas pembedahan pundi hempedu: kesakitan 6/10, analgesik seterusnya dijadualkan dalam 30 minit