ใบงาน การจัดลำดับความสำคัญและการมอบหมายงาน พร้อมเฉลย

What does the START in START triage stand for?

1. AStaged Triage And Resuscitation Team
2. BStandard Treatment And Referral Tool
3. CSystematic Transfer And Rapid Transport
4. DSimple Triage And Rapid Treatment

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 ill the patient is and how much nursing care they need
3. CHow many visitors the patient is expected to have
4. DHow long the patient has been in the hospital since admission

Which three things does START triage check in a non-walking adult?

1. APulse, blood pressure and body temperature
2. BAirway, blood glucose and pupils
3. CPain score, mobility and age
4. DRespirations, perfusion and mental status

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. ASubcutaneous long-acting insulin only, given once
2. BIV isotonic fluid such as 0.9% sodium chloride
3. CA high-carbohydrate meal
4. DOral potassium tablets

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AEncourage the patient to walk to improve the circulation
2. BMassage the patient’s calves to ease any muscle cramp
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DRaise the head of the bed, give oxygen and call for urgent help

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BMild anxiety about the high reading on the monitor
3. CForgetting to take the blood pressure tablet this morning
4. DNew chest pain or confusion suggesting organ damage

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AStay and tell the charge nurse, and hand over before leaving
2. BLeave a written note at the station and go home
3. CAsk a nursing assistant to watch the patients until someone comes
4. DLeave on time, because the shift has officially ended

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AToo much fluid left in the abdomen after the drain
2. BA normal finding at the end of each exchange
3. CPeritonitis, which needs prompt reporting and a fluid sample
4. DConstipation that will settle with a laxative later today or tomorrow