Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

How many levels does the Emergency Severity Index have?

1. AFour
2. BFive
3. CThree
4. DSix

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

In mass-casualty triage, what does a yellow tag usually mean?

1. ADelayed: serious injuries, but care can safely wait a little
2. BDeceased or not expected to survive
3. CImmediate: life-threatening injuries that are survivable with quick care
4. DMinor: the walking wounded

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA side effect of drinking too much water
3. CA new bowel infection that has caused the diarrhea
4. DFecal impaction with liquid stool passing around it

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AChange both of their assignments without any discussion
2. BIgnore it and hope they sort it out
3. CMeet both of them privately to hear each side
4. DReport them to human resources at once

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. ARelieve pressure on the area by changing position regularly
2. BApply a heat pad to the area to increase circulation
3. CMassage the area firmly to improve the blood flow to the skin
4. DKeep the patient lying on the back to protect the area

Dapatan pesakit manakah yang tidak dijangka dan memerlukan tindakan selepas reseksi transuretra prostat dengan pengairan pundi kencing berterusan?

1. AAir kencing merah terang dengan ketulan dan aliran keluar dari kateter yang berkurang
2. BAir kencing merah jambu muda yang menjadi lebih jernih sepanjang hari
3. CKejang pundi kencing ringan yang reda dengan ubat antispasmodik yang ditetapkan
4. DPerasaan perlu membuang air kecil walaupun terdapat kateter

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. ALeft-sided heart failure
2. BA blocked urinary catheter
3. CCardiac tamponade
4. DHypovolemic shock from dehydration