Lembar kerja Keperawatan klinis dengan jawaban

A wheeze heard on chest auscultation is caused by:

1. AAir flowing through narrowed airways
2. BFluid in the alveoli
3. CFluid collecting in the pleural space
4. DThe pleural layers rubbing together

The term "pallor" means:

1. AAbnormal paleness of the skin
2. BA red, raised rash
3. CYellowing of the skin and eyes
4. DBluish fingertips

Rule of nines memperkirakan:

1. AJumlah napas per menit
2. BKedalaman luka bakar, diukur dalam milimeter kulit
3. CPersentase luas permukaan tubuh yang terkena luka bakar
4. DCairan yang hilang akibat muntah

A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?

1. ASemi-reclined at about 20 degrees, with the head supported on pillows
2. BLying flat on their back with the head turned to one side
3. CLying on their side with the knees bent
4. DSitting fully upright, and staying upright for a time after eating

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ASitting the patient upright and supporting them to clear secretions
2. BDiscouraging coughing to save energy
3. CLying the patient flat so that they can rest and conserve energy
4. DRestricting all oral fluids

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. ABlood pressure readings show whether the catheter is infected
2. BThe epidural pump uses the blood pressure to set the rate
3. CEpidurals always cause severe hypertension that needs regular treatment
4. DThe local anaesthetic can block sympathetic nerves and cause hypotension

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. AChronic kidney disease, treated with long-term dialysis three times a week
2. BIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
3. CPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
4. DPost-renal acute kidney injury from obstruction, treated with a catheter

A patient with central chest pain has ST elevation on the 12-lead ECG. What is the main aim of urgent treatment?

1. ARestoring blood flow through the blocked coronary artery quickly
2. BWaiting for the troponin result before taking any action
3. CStrict bed rest for several days before deciding on treatment
4. DStarting a cholesterol-lowering drug before any other treatment is given