Lembar kerja Keperawatan klinis dengan jawaban

What is the most reliable indicator of pain in a patient who can communicate?

1. AThe nurse's impression of their face
2. BThe patient's own report
3. CThe patient's heart rate
4. DThe patient's blood pressure

What is the normal pH range of arterial blood?

1. A7,55–7,65
2. B6,85–6,95
3. C7,35–7,45
4. D7,00–7,10

In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:

1. A4 mmol/L
2. B1 mmol/L
3. C7 mmol/L
4. D10 mmol/L

Which technique is correct when suctioning through a tracheostomy?

1. ASuction every 15 minutes whether or not secretions are present
2. BApply suction continuously while inserting the catheter as far as it will go
3. CApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
4. DKeep suctioning for at least a minute each time to clear all the secretions

Which of these is a non-drug measure that can help relieve pain?

1. ATelling the patient that the pain is not real
2. BRepositioning and distraction
3. CKeeping the patient awake all night
4. DRestricting visitors completely

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. AGlucose
2. BSodium
3. CUrea (blood urea nitrogen)
4. DCalcium

An arterial blood gas shows a low PaO₂ with a low or normal PaCO₂. How is this classified?

1. AType 1 respiratory failure
2. BMetabolic acidosis
3. CNormal blood gas
4. DType 2 respiratory failure

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3,6 mmol/L (65 mg/dL). What should the nurse do next?

1. ATake no action because the level is rising
2. BGive a long-acting carbohydrate snack only and recheck tomorrow
3. CGive another dose of fast-acting carbohydrate and recheck
4. DGive a dose of subcutaneous insulin