Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which blood pressure in an adult suggests hypotension?

1. A110/70 mmHg
2. B118/76 mmHg
3. C82/48 mmHg
4. D126/82 mmHg

Which hemoglobin result is low for an adult woman?

1. A14.0 g/dL (140 g/L)
2. B12.6 g/dL (126 g/L)
3. C13.2 g/dL (132 g/L)
4. D7.8 g/dL (78 g/L)

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe patient receiving the care
2. BNobody, once the task has been delegated
3. COnly the nurse manager
4. DThe assistant who accepted the task

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe weights are hanging freely
3. CThe weights are resting on the floor
4. DThe patient’s body is in line with the traction

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. ASlightly swollen
2. BA little bleeding when cleaned
3. CMoist and pink-red
4. DDark purple or black

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARemove the oxygen to see if the SpO₂ changes
2. BTurn the nasal cannula up to 15 L/min
3. CReport it, because a different oxygen device is likely to be needed
4. DRecheck the SpO₂ at the next routine set of observations in four hours

On a cardiac step-down unit, which patient should the nurse assess first?

1. AHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
2. BAtrial fibrillation on warfarin with an INR of 2.6 this morning
3. CDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
4. DSix hours after a coronary stent, new chest pain with ST elevation on the monitor

During a power cut, which patient is the nurse’s first priority?

1. AA patient watching television when it switched off
2. BA patient whose bed will not raise electrically
3. CA patient whose call light is not working
4. DA patient who depends on a ventilator