Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Menggunakan hierarki keperluan Maslow, masalah pesakit manakah yang biasanya ditangani dahulu oleh jururawat?

1. ARisiko jatuh pada waktu malam
2. BPengasingan sosial
3. CPertukaran gas terjejas
4. DHarga diri yang rendah

Aktiviti manakah yang secara umumnya berada dalam skop jururawat amali berlesen (LPN/LVN) untuk pesakit yang stabil?

1. AMelakukan triaj kepada ketibaan baharu di jabatan kecemasan
2. BMelakukan penilaian kemasukan awal
3. CMemberi ubat oral yang dijadualkan
4. DMenulis pelan penjagaan kejururawatan

What are Kussmaul respirations?

1. ANoisy, high-pitched breathing caused by a blocked upper airway
2. BShort pauses in breathing during normal sleep
3. CDeep, rapid breathing seen in metabolic acidosis such as DKA
4. DSlow, shallow breathing after an opioid overdose

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AThiamine (vitamin B₁)
2. BVitamin C (ascorbic acid)
3. CVitamin D (calciferol)
4. DVitamin K (phytonadione)

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

1. AHair growth and skin color
2. BThoughts of suicide or self-harm
3. CWeight loss from too much appetite
4. DRising blood glucose levels

Which patient on an addiction unit should the nurse see first?

1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
3. CLast drink this morning; asking when lunch will arrive
4. DLast drink one week ago; asking about support groups

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ATaking the victim straight to the X-ray department
2. BFull assessment inside the main department straight away
3. CPlacing the victim in the waiting room until a doctor is free
4. DDecontamination before the victim enters the treatment area

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it, because the provider gave the instruction
2. BDo it just this once and promise the provider not to do it again
3. CAsk a nursing assistant to do it instead
4. DDecline, explain why and suggest who can safely do it