Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which phrase in a question usually signals a priority question?

1. A“Which statement describes this drug’s class?”
2. B“Which bone is found in the forearm?”
3. C“Which action should the nurse take first?”
4. D“Which term means inflammation of the liver?”

Which patient is unstable?

1. AA patient with a new irregular pulse who says they feel dizzy
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient waiting for a planned hip X-ray

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe hospital areas where a nurse is allowed to work
3. CThe highest number of patients a nurse may care for during a single shift
4. DThe salary range that applies to each nursing role

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AChange both of their assignments without any discussion
2. BMeet both of them privately to hear each side
3. CReport them to human resources at once
4. DIgnore it and hope they sort it out

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will make my breath out about twice as long as my breath in.”
2. B“I will breathe in slowly through my nose.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in through my mouth and out quickly through my nose.”

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BDelirium, which needs the cause found quickly
3. CA personality change that is permanent and expected
4. DNormal aging that needs no action

Empat pesakit tiba di jabatan kecemasan bersama-sama. Siapakah yang patut dilihat dahulu?

1. AKanak-kanak berumur 2 tahun yang meleleh air liur, duduk membongkok ke hadapan dan mempunyai stridor
2. BOrang dewasa dengan migrain dan tekanan darah 150/90 mmHg
3. COrang dewasa dengan buku lali cacat dan nadi normal di kaki
4. DRemaja dengan luka pada lengan yang pendarahannya terkawal

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Help him wash and change, and tell me at once if you see any red or broken skin.”
2. B“Check his glucose before lunch and tell me the number straight away.”
3. C“Check his glucose and give the insulin according to the sliding scale.”
4. D“Walk him to the bathroom and back, and stay with him the whole time.”