Lembar kerja Keperawatan klinis dengan jawaban

Area kemerahan yang tidak memucat saat ditekan pada kulit utuh di atas sakrum diklasifikasikan sebagai kategori luka tekan yang mana?

1. AKategori 4
2. BKategori 2
3. CKategori 3
4. DKategori 1

Anaemia means:

1. AA higher than normal white cell count
2. BA low platelet count
3. CA lower than normal haemoglobin level
4. DA raised blood glucose level

While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?

1. AHold the patient's hand
2. BStand clear and not touch the patient
3. CGive rescue breaths
4. DKeep doing chest compressions without pausing

Which measure helps prevent delirium in older inpatients?

1. AKeeping the lights on all night
2. BReorientation, glasses and hearing aids in use, and good sleep and hydration
3. CRestricting fluids to avoid incontinence
4. DMoving the patient to a different bed each night to give them a change of scene

A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?

1. ATo show the surgeon exactly where to make the incision
2. BTo help the patient find the sore area
3. CTo monitor whether the infection is spreading or improving
4. DTo mark the site for an injection

What happens in third-degree (complete) heart block?

1. ANo impulses from the atria reach the ventricles, so they beat independently
2. BEvery impulse reaches the ventricles, but each one is slightly delayed
3. CThe ventricles beat very fast and regularly
4. DThe atria beat chaotically with no P waves, and the ventricular rate is irregular

A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?

1. AA perforated peptic ulcer
2. BIndigestion that will settle with antacids
3. CIrritable bowel syndrome
4. DConstipation

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AAirborne precautions with a negative-pressure room for the whole hospital stay
2. BIsolation only after the patient has gone home
3. CNo precautions, because it is not contagious
4. DDroplet precautions until 24 hours of effective antibiotics have been given