Lembar kerja Keperawatan klinis dengan jawaban

Skala nyeri apa yang sering digunakan untuk orang dewasa yang dapat berkomunikasi?

1. AGlasgow Coma Scale
2. BSkala luka tekan Braden
3. CSkala penilaian numerik 0–10
4. DSkor Apgar

Before moving or handling a patient, what should the nurse do first?

1. ABend at the waist and keep the knees straight
2. BLift the patient quickly before they become tired or anxious
3. CAsk the patient's relative to help lift them to save time
4. DAssess the risks and choose the right equipment and number of staff

The term "hemiplegia" means:

1. AParalysis of all four limbs
2. BParalysis of one side of the body
3. CParalysis of both legs
4. DWeakness of the facial muscles only

When should discharge planning usually begin?

1. AAfter the patient has been home for a week
2. BOn the morning of discharge
3. COn or soon after admission
4. DOnly after the patient asks to go home

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AAs a severe anaphylactic allergy to all opioids
2. BIt should not be recorded at all
3. CAs an allergy to all painkillers
4. DAs a side effect or intolerance, not a true allergy

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

1. AChloride
2. BPhosphate
3. CSodium
4. DMagnesium

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

Pasien trakeostomi tiba-tiba tidak bisa bernapas dan kanul tampak tersumbat. Apa tindakan pertama?

1. ATunggu dokter sebelum melakukan apa pun
2. BLepaskan kanul dalam dan periksa apakah tersumbat
3. CBeri oksigen hanya lewat mulut
4. DKempiskan balon (cuff) lalu tinggalkan pasien