Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam kebanyakan tetapan, siapakah yang melakukan triaj kepada ketibaan baharu di jabatan kecemasan?

1. AKerani wad
2. BJururawat berdaftar
3. CPembantu jururawat
4. DLPN/LVN tanpa penglibatan RN

What does a “PRN” medication order mean?

1. AGive the drug at exactly the same time every single day
2. BGive the drug once only, immediately
3. CGive the drug when needed, within the prescribed limits
4. DGive the drug only before surgery

A medication error has just reached a patient. What is the nurse’s first action?

1. ATell the nurse manager at the end of the shift
2. BAssess the patient for any effects of the error
3. CComplete an incident report before doing anything else
4. DCorrect the entry on the medication record

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

1. AReport it at once, because cultures and antibiotics are needed quickly
2. BDocument the reading and mention it at the next handover
3. CRecheck the temperature in four hours before telling anyone
4. DGive a cool shower and offer extra fluids, then wait and see what happens

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BLetting staff choose the patients they prefer
3. CMatching each patient’s needs to staff competence
4. DGiving each nurse patients in rooms next to each other

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“I will come and check the pump and the IV site now.”
2. B“Turn the pump off and on again until it stops.”
3. C“Silence the alarm and I will check it at the end of the shift.”
4. D“Increase the rate a little so the alarm clears.”

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe nurse should consider level 2 because of the danger-zone vital sign
2. BVital signs never change the ESI level
3. CThe patient is level 5 because the pain is not severe
4. DThe patient is level 4 because the blood tests and the scan count as one resource

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
2. BNo special precautions are needed if the wound is covered with a dressing
3. COnly wear gloves when touching the wound itself; skin and bedding are safe
4. DWear a gown and gloves for contact with the patient or the room, and use dedicated equipment