Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BAssess the patient for any effects of the error
3. CComplete an incident report before doing anything else
4. DTell the nurse manager at the end of the shift

In SBAR communication, what does the letter R stand for?

1. ARecommendation
2. BResponse
3. CReassessment
4. DResult

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A4.0–5.0
2. B2.0–3.0
3. C6.0–7.0
4. D0.5–1.0

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will carry my salbutamol inhaler with me.”
2. B“I will use my steroid inhaler every day, even when I feel well.”
3. C“I will rinse my mouth after using the steroid inhaler.”
4. D“I will use my steroid inhaler when I have a sudden attack.”

Seorang jururawat ketua perlu mengosongkan satu katil. Pesakit manakah yang paling sesuai untuk discaj atau dipindahkan ke tahap penjagaan yang lebih rendah?

1. AHari ke-1 selepas pembedahan usus dengan suhu baharu 38.5 °C
2. BHari ke-3 selepas apendektomi tanpa komplikasi, makan, menggunakan analgesia oral
3. CPneumonia, dengan keperluan oksigen yang meningkat semalaman daripada 2 kepada 4 L/min
4. DDimasukkan dua jam lalu dengan sakit dada; keputusan troponin masih belum ada

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

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

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BHead down with the legs raised above the heart
3. CHead of the bed at about 30 degrees with the neck straight
4. DSitting forward with the chin on the chest

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AIgnore it, because older people bruise easily
2. BEnsure the patient’s safety, document the findings and report as required
3. CAsk the relative directly in front of the patient whether they hit her
4. DTell the patient she must leave home and go to live somewhere else