Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

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

1. AHarga diri yang rendah
2. BRisiko jatuh pada waktu malam
3. CPertukaran gas terjejas
4. DPengasingan sosial

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe hospital areas where a nurse is allowed to work
3. CThe salary range that applies to each nursing role
4. DThe highest number of patients a nurse may care for during a single shift

Which of these is one of the standard “rights” of medication administration?

1. ARight ward
2. BRight patient
3. CRight brand
4. DRight colleague

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will not leave my insulin in a hot car.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will keep unopened insulin in the fridge.”
4. D“I will check the expiry date on the label before I use the vial.”

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with chickenpox and a patient on chemotherapy
3. CA patient with influenza and a patient with COPD
4. DA patient with MRSA in a wound and a patient after surgery

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BLeave it because the patient is asleep
3. CLower the bed now and remind the assistant why it matters
4. DWrite it in the assistant’s yearly review only

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AAn air leak in the patient or the system that needs checking
2. BThe suction is set too low and needs to be turned up
3. CThe drain is working normally and no action is needed
4. DThe lung has fully re-expanded, so the drain is ready to come out

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

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