Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which term describes a patient who is unable to understand and decide about their own care?

1. ALacking decision-making capacity
2. BFully competent
3. CExercising autonomy
4. DProviding valid informed consent

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. AInfection
2. BFluid overload
3. CBleeding
4. DBlood clots

Dalam triaj korban beramai-ramai, kategori manakah yang biasanya ditandakan oleh tag hijau?

1. AKecederaan kecil: "cedera boleh berjalan"
2. BSegera: memerlukan rawatan serta-merta
3. CMeninggal dunia atau dijangka maut
4. DDitangguhkan: kecederaan serius tetapi stabil buat masa ini

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DCover the wound with sterile dressings moistened with saline

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 CPR and stop when the family arrives
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart chest compressions but not rescue breaths

Menggunakan Emergency Severity Index, pesakit manakah yang menerima tahap ketajaman tertinggi?

1. APesakit dengan sakit tekak selama tiga hari dan tanda vital normal
2. BPesakit yang tidak responsif dengan nafas tercungap-cungap dan tidak teratur
3. CPesakit dengan kemungkinan patah buku lali
4. DPesakit dengan sakit dada dan tanda vital normal

A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?

1. ATreat for hypoglycemia with fast-acting oral carbohydrate
2. BGive a dose of rapid-acting insulin in case the glucose is high
3. CWithhold all food and fluids until a meter is found
4. DAsk the patient to lie down and sleep it off

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. BRemaja dengan luka pada lengan yang pendarahannya terkawal
3. COrang dewasa dengan buku lali cacat dan nadi normal di kaki
4. DOrang dewasa dengan migrain dan tekanan darah 150/90 mmHg