Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which patient needs a single room with airborne precautions?

1. AA patient with type 2 diabetes
2. BA patient with a urinary tract infection and a catheter
3. CA patient with a fractured femur
4. DA patient with suspected pulmonary tuberculosis

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a stable patient who has no swallowing problems
2. BAssessing a pressure injury on the sacrum
3. CFeeding a patient with newly diagnosed dysphagia after a stroke
4. DGiving a stable patient their oral medications

What is the range of possible scores on the Glasgow Coma Scale?

1. A1 to 20
2. B0 to 10
3. C3 to 15
4. D0 to 15

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ACrohn disease, waiting to be taken down for a scheduled CT scan
2. BUlcerative colitis, asking about diet changes for home
3. CLong-standing back pain, asking for the usual analgesic
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARecheck the SpO₂ at the next routine set of observations in four hours
2. BTurn the nasal cannula up to 15 L/min
3. CRemove the oxygen to see if the SpO₂ changes
4. DReport it, because a different oxygen device is likely to be needed

On a pediatric unit, which child does the nurse assess first?

1. AA child in a new arm cast with pink, warm fingers and pain of 5/10
2. BA child with a temperature of 38.2 °C after vaccination
3. CA child with asthma who is now quiet with very little air movement
4. DA child with croup who has a barking cough but no stridor at rest

Semasa pemberian makanan tiub berterusan, seorang pesakit tiba-tiba mula batuk, sesak nafas dan SpO₂ menurun. Apakah tindakan pertama jururawat?

1. ABilas tiub dengan 50 mL air, kemudian teruskan pemberian makanan seperti sebelumnya
2. BTingkatkan kadar pemberian makanan supaya ia selesai lebih awal
3. CHentikan pemberian makanan, dudukkan pesakit tegak dan nilai pernafasan
4. DBaringkan pesakit rata supaya dia boleh berehat

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BDefibrillate as soon as the defibrillator is available, with CPR until then
3. CCheck the blood potassium level before any shock is considered
4. DRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all