Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

What is the main purpose of an incident report?

1. ATo inform the patient’s insurance company
2. BTo replace the nurse’s notes in the patient’s record
3. CTo decide which staff member should be punished
4. DTo improve safety by finding out why events happen

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow far the patient’s room is from the nurses’ station
2. BHow many visitors the patient is expected to have
3. CHow long the patient has been in the hospital since admission
4. DHow ill the patient is and how much nursing care they need

Which triage method is designed for children in mass-casualty incidents?

1. AThe Braden Scale
2. BThe Glasgow Coma Scale
3. CJumpSTART
4. DThe APGAR score

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BBlood glucose and weight
3. CBowel sounds and urine color
4. DApical pulse and blood pressure

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal pain after surgery
3. CDislocation of the new hip
4. DA pressure injury on the heel

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

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

Dalam bencana dengan sumber yang sangat terhad, mangsa dengan lecur teruk pada hampir seluruh badan ditandakan hitam. Prinsip manakah yang menjelaskan keputusan ini?

1. AMerawat mangsa yang paling muda dahulu
2. BMelakukan kebaikan terbesar untuk bilangan terbesar
3. CMerawat mangsa mengikut tertib kedatangan
4. DMerawat orang yang paling parah cedera dahulu

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. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DAtrial fibrillation on warfarin with an INR of 2.6 this morning