Lembar kerja Keperawatan klinis dengan jawaban

Which hormone made by the kidneys stimulates red blood cell production?

1. AThyroxine
2. BInsulin
3. CErythropoietin
4. DAldosterone

Why is jewellery removed or taped before surgery?

1. ABecause metal jewellery increases blood loss during the operation
2. BTo reduce the risk of diathermy burns and pressure injury
3. CTo make the patient's weight easier to measure
4. DBecause metal raises the risk of postoperative nausea

Who is responsible for obtaining a patient's informed consent for surgery?

1. AThe ward nurse who admits the patient on the day of surgery
2. BThe patient's closest relative or the person named as next of kin
3. CThe clinician doing the procedure, or a suitably trained delegate
4. DThe theatre porter

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. AConfront the relative directly at the bedside about it
2. BKeep it secret because it is a family matter
3. CWait until the patient has been discharged
4. DRaise the concern through the local safeguarding (adult protection) procedure

Which technique is correct when suctioning through a tracheostomy?

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

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

Why can sepsis be missed in older adults?

1. ABlood tests are not useful in older people
2. BOlder adults cannot develop sepsis because their immune system is weaker
3. COlder adults always have a very high fever
4. DThey may have no fever and present with confusion, falls or reduced mobility

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
2. B"Mr Chen's blood pressure is 128/80 as usual."
3. C"Ms Ali has walked to the bathroom on her own."
4. D"Mrs Jones would like a cup of tea and her glasses cleaned."