Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which patient needs a single room with airborne precautions?

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

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. ARescue patients in immediate danger
2. BClose doors to contain the fire and smoke
3. CUse an extinguisher on the fire
4. DPull the fire alarm

Secara umum, jenis masalah manakah yang ditangani sebelum yang lain?

1. AKeperluan pembelajaran untuk discaj
2. BMasalah risiko yang mungkin berkembang kemudian
3. CMasalah sebenar yang dialami pesakit sekarang
4. DMasalah yang disenaraikan dalam pelan penjagaan yang lebih lama

Which postoperative patient should the nurse see first?

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

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will keep a pillow between my knees when I lie on my side in bed.”
4. D“I will not bend my hip past 90 degrees.”

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

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DReassure her that this is normal “baby blues”

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
2. BUse the room number as the main identifier
3. CCheck two identifiers against the wristband and the medication record
4. DAsk a nursing assistant which patient is which