Lembar kerja Keperawatan klinis dengan jawaban

What does the INR measure?

1. AThe number of platelets circulating in the blood
2. BThe level of white cells in the blood
3. CThe amount of iron stored in the body's liver and bone marrow
4. DHow long the blood takes to clot, compared with a standard

How deep should chest compressions be during adult CPR?

1. A2–3 cm
2. B8–10 cm
3. C5–6 cm
4. D1–2 cm

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. AThe patient cannot receive antibiotics, fluids or any other active treatment
2. BCPR will not be attempted if the heart stops, but other care continues
3. CThe patient must be moved to a hospice
4. DAll treatment, including food, drink and pain relief, is stopped

After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?

1. AThe needle must be sent for culture
2. BThe patient will need antibiotics
3. CPost-exposure prophylaxis works best when started as soon as possible
4. DThe nurse must be tested for HIV the same day to confirm infection

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. AVenturi mask set to 24%
2. BNasal cannula at 2 L/min
3. CNon-rebreathe mask with reservoir bag at 15 L/min
4. DSimple face mask at 5 L/min with the patient sitting up

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. AWeigh the patient again in six months and review at that point
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CEncourage a low-calorie diet
4. DRefer to the dietitian and start a nutrition care plan with food charts

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I can push a knitting needle down the cast to scratch an itch."
2. B"I will keep my leg raised on pillows for the first few days."
3. C"I will come back if my toes go numb or turn blue."
4. D"I will keep the cast dry."

Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?

1. AThe letters can be misread as a zero, causing a tenfold overdose
2. BPharmacists cannot dispense insulin written that way
3. CThe abbreviation is only allowed on prescriptions for children
4. DIt changes the type of insulin given