Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When is the Apgar score usually assessed?

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

Dalam sistem triaj tiga peringkat, pesakit manakah yang tergolong dalam kecemasan?

1. APermintaan untuk preskripsi ulangan
2. BSakit dada dengan berpeluh dan sesak nafas
3. CSakit perut selama dua hari dengan tanda vital normal
4. DRuam selama tiga hari tanpa demam

Pesakit manakah yang paling stabil?

1. APesakit yang baru menjadi keliru
2. BPesakit dua hari selepas pembedahan lutut dengan kesakitan 3/10 dan tanda vital normal
3. CPesakit yang tekanan darahnya jatuh daripada 132/80 kepada 90/56 mmHg
4. DPesakit dengan sakit dada baharu

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AA high-carbohydrate meal
2. BIV isotonic fluid such as 0.9% sodium chloride
3. CSubcutaneous long-acting insulin only, given once
4. DOral potassium tablets

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BHead-tilt, chin-lift with full neck extension
3. CTurning the head to the side to drain water
4. DJaw thrust, keeping the head and neck in line

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AThoughts of suicide or self-harm
2. BRising blood glucose levels
3. CHair growth and skin color
4. DWeight loss from too much appetite

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AIgnore it, because older people bruise easily
2. BAsk the relative directly in front of the patient whether they hit her
3. CEnsure the patient’s safety, document the findings and report as required
4. DTell the patient she must leave home and go to live somewhere else

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AWeighing the pads to estimate blood loss
2. BMonitoring the fetal heart rate
3. CMeasuring the blood pressure and pulse
4. DA vaginal examination