Lembar kerja Keperawatan klinis dengan jawaban

Muntahan seperti "ampas kopi" menunjukkan:

1. AGagal ginjal
2. BObstruksi usus di bagian bawah kolon
3. CPerdarahan di saluran cerna bagian atas
4. DKeracunan makanan dengan muntah tetapi tanpa perdarahan

Berapa skor terendah yang mungkin pada Glasgow Coma Scale?

1. A1
2. B3
3. C0
4. D5

What should be done with a used needle after an injection?

1. ARecap it carefully using both hands, then put it in the bin
2. BPlace it on the bed until the end of the round
3. CPut it straight into a sharps container without recapping
4. DPut it in the clinical waste bag

Pasien pascaoperasi memiliki denyut jantung 125/menit, tekanan darah 88/50 mmHg, dan balutan yang basah oleh darah. Apa yang terjadi?

1. AHanya kecemasan
2. BSyok hipovolemik akibat perdarahan
3. CSyok septik akibat infeksi saluran kemih
4. DRespons normal terhadap nyeri

Seorang pasien mengalami nyeri perut kolik, perut membesar, muntah, dan tidak buang air besar maupun buang angin selama dua hari. Apa masalah yang mungkin?

1. ASindrom iritasi usus besar
2. BObstruksi usus
3. CApendisitis tanpa komplikasi
4. DGastroenteritis

What should a nurse do during a generalised tonic-clonic seizure?

1. AGive the patient a drink of water
2. BHold the limbs firmly to stop the jerking and prevent injury
3. CPut a tongue depressor between the teeth so that the tongue is not bitten
4. DProtect the head, time the seizure and do not put anything in the mouth

A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?

1. AA lower GI bleed from diverticular disease
2. BSwallowed blood from a nosebleed
3. CA Mallory-Weiss tear from a small amount of vomiting
4. DBleeding from ruptured oesophageal varices

A patient with long-standing COPD has an arterial blood gas with pH 7,37, a raised PaCO₂ and a raised bicarbonate. How is this best described?

1. AAcute respiratory acidosis
2. BUncompensated metabolic alkalosis
3. CMixed metabolic and respiratory alkalosis
4. DCompensated respiratory acidosis