Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

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

1. ADitangguhkan: kecederaan serius tetapi stabil buat masa ini
2. BKecederaan kecil: "cedera boleh berjalan"
3. CSegera: memerlukan rawatan serta-merta
4. DMeninggal dunia atau dijangka maut

Dalam pendelegasian, apakah maksud "keadaan yang betul"?

1. AJururawat memeriksa hasilnya selepas tugas selesai
2. BTugas itu disenaraikan dengan jelas dalam huraian kerja bertulis penerima delegasi
3. CJururawat memberi penerima delegasi arahan yang jelas dan khusus
4. DTetapan dan keadaan pesakit menjadikan pendelegasian selamat

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A22–26 mEq/L
2. B35–45 mEq/L
3. C3.5–5.0 mEq/L
4. D80–100 mEq/L

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BTell him the voices are not real and leave him alone
3. CIgnore the comment, because voices are part of his illness
4. DAsk the roommate to stay in the room with him and help calm him down

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will dry well between my toes after washing.”

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will remove loose rugs from the floor at home.”
2. B“I will take my weight on my hands, not on my armpits.”
3. C“I will keep the crutch tips in good condition.”
4. D“I will lean on the crutch pads under my arms to rest.”

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe patient is anxious and only needs reassurance
2. BThe tight burned skin is restricting chest movement, so an escharotomy may be needed
3. CThe burns are healing and the skin is tightening normally
4. DThe patient has had too little IV fluid and needs a fast bolus to improve the breathing

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. APlace the child in a knee-to-chest position
2. BGive a large drink of water to calm the child
3. CEncourage the child to keep crying to open the lungs
4. DLay the child flat on their back