Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In a three-level triage system, what does “urgent” mean?

1. ALife-threatening and needs care immediately
2. BMinor, and can safely wait for several hours
3. CAlready deceased on arrival
4. DSerious but stable for now, and needs care soon

In nursing management, what is an “assignment”?

1. AGiving staff care activities that are within their own role and scope
2. BA written order from a prescriber for a treatment
3. CAsking a colleague to do a task outside their usual scope
4. DHanding legal accountability for a patient over to a nursing colleague

How many rights of delegation are commonly taught?

1. AFive
2. BTen
3. CSeven
4. DThree

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BFollow the DNR order and do not start CPR
3. CStart CPR and stop when the family arrives
4. DCall the cardiac arrest team and let them decide

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AAssess the airway and call for urgent help
2. BGive the next dose of lisinopril with water
3. CTell the patient this is a common, harmless effect
4. DApply a cold pack and recheck in an hour

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA new bowel infection that has caused the diarrhea
3. CA side effect of drinking too much water
4. DFecal impaction with liquid stool passing around it

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe suction is set too low and needs to be turned up
2. BAn air leak in the patient or the system that needs checking
3. CThe lung has fully re-expanded, so the drain is ready to come out
4. DThe drain is working normally and no action is needed

A patient with septic shock remains hypotensive, with a mean arterial pressure of 58 mmHg, after adequate IV fluids. What should the nurse anticipate?

1. AA vasopressor, such as norepinephrine, to raise the pressure
2. BA beta-blocker to slow the heart rate
3. CAn oral fluid challenge with a sports drink
4. DA loop diuretic to remove the extra fluid that has been given