Lembar kerja Keperawatan klinis dengan jawaban

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. ANarrowing or obstruction of the upper airway
2. BMild constipation
3. CNormal breathing during sleep
4. DFluid collecting in the bases of both lungs

Berapa skor terendah yang mungkin pada Glasgow Coma Scale?

1. A5
2. B1
3. C0
4. D3

In the stroke awareness acronym FAST, what do the letters stand for?

1. AFace, Arms, Speech, Time
2. BFever, Ache, Sweating, Tremor
3. CFall, Airway, Shock, Temperature
4. DFeeling, Awareness, Sight, Touch

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo measure how deep the ulcer is and how much exudate it produces
2. BTo check for a urinary tract infection that could delay ulcer healing
3. CTo work out the patient's fluid needs
4. DTo exclude significant arterial disease, as compression could cut off blood flow

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AWith the head of the bed raised to at least 30 degrees
2. BIn any position, as long as the feed runs slowly
3. CLying on the left side with the head down to help the feed drain
4. DLying completely flat

A patient is prescribed two different eye drops at the same time. What is correct?

1. AMix the two drops in one bottle
2. BGive one drop now and the other the next day
3. CGive both drops at once into the same eye
4. DWait about five minutes between the two drops

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. ATell the patient not to think about such things and to stay positive
2. BGently explore what the patient understands and what has prompted the question
3. CChange the subject quickly to keep them cheerful and avoid upsetting them
4. DLeave and send the doctor without saying anything

Seorang pasien dengan cedera medula spinalis setinggi T4 tiba-tiba mengalami sakit kepala berdenyut hebat, tekanan darah sangat tinggi, dan berkeringat di atas level cedera. Apa tindakan pertama?

1. ABaringkan pasien datar dan tinggikan tungkai untuk memperbaiki perfusi otak
2. BBerikan sedatif dan periksa ulang tekanan darah dalam empat jam
3. CBerikan bolus cairan IV dalam jumlah besar dan periksa ulang tekanan darah
4. DDudukkan pasien dan periksa adanya kandung kemih penuh atau kateter tersumbat